DR. DAVID LEE RUSSELL SR. DMD, MS.
NPI 1336269109
Dentist - Pediatric Dentistry in Fort Walton Beach, FL

Q: What is David Russell's NPI number?

The NPI number for David Russell is 1336269109. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is David Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for David Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2007

14 RACETRACK RD NW, FORT WALTON BEACH, FL 32547(850) 863-3194(850) 863-8875 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. David Lee Russell Sr. Dmd, Ms. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DAVID LEE RUSSELL SR. DMD, MS. (NPI 1336269109) is an individual pediatric dentistry provider in Fort Walton Beach, Florida, licensed in Florida (9126) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1336269109

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. DAVID LEE RUSSELL SR.Credential: DMD, MS.

Location Address14 RACETRACK RD NWFort Walton Beach, FL 32547-1642

Mailing Address14 Racetrack Rd NwFort Walton Beach, FL 32547-1642 · (850) 863-3194 · Fax (850) 863-8875

Phone(850) 863-3194

Fax(850) 863-8875

Sole ProprietorYes

Enumeration DateMarch 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1336269109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in FL · 9126

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

14 RACETRACK RD NW, Fort Walton Beach, FL 32547

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES L IGLEBURGER MD

Psychiatry & Neurology (Psychiatry)

14 RACETRACK RD NW
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 374-3990

IGLEPSYCH, INC

Clinic/Center (Adult Mental Health)

14 RACETRACK RD NW
FORT WALTON BEACH, FL 32547

Okaloosa County (850) 374-3990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Russell's NPI number?

The NPI number for David Russell is 1336269109. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is David Russell located?

David Russell practices at 14 Racetrack Rd NW, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-3194.

What is David Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for David Russell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.