SearchFloridaGeneral Practice Dentistry

William Russell, DMD

NPI 1649638362 · on the registry since 2016

Practice

Address
11645 Beach Blvd Ste 101
Jacksonville, FL 32246
Phone
(904) 999-9000
Organisation at this address
904 Implants And Dentures Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
Student in an Organized Health Care Education/Training Program
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida