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MRS. ALISA L RUSSELL RDH
NPI 1588190052
Dental Hygienist in Jacksonville, FL

Active since May 03, 2017
2080 CHILD ST, BLDG 964 DENTAL, JACKSONVILLE, FL 32214(904) 546-7175 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Alisa L Russell Rdh NPPES

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

MRS. ALISA L RUSSELL RDH (NPI 1588190052) is an individual dental hygienist in Jacksonville, Florida, licensed in Florida (DH 23693) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1588190052
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameMRS. ALISA L RUSSELLCredential: RDH
Location Address2080 CHILD ST, BLDG 964 DENTALJacksonville, FL 32214-5005
Mailing Address2080 Child St, P.o. Box 8 Bldg 964Jacksonville, FL 32214-5005 · (904) 546-7175
Phone(904) 546-7175
Sole ProprietorNo
Enumeration DateMay 3, 2017
✔ NPI 1588190052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in FL · DH 23693
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
2080 CHILD ST, Jacksonville, FL 32214
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Other Providers at the Same Location NPPES 20

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

MR. STEVEN LEE UNDHEIM IDC
Military Health Care Provider (Independent Duty Corpsman)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 546-7094
RAMONA GREENE
Registered Nurse (Medical-Surgical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. HANNAH GOULD MD
Military Health Care Provider
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7762
DR. RONALD APPLEBY D.M.D
Dentist (General Practice)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3442
MS. DEBRA LYNN WAGNER CNM, ARNP
Advanced Practice Midwife
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-7300
DR. NICOLE MARIE THATCHER MD
General Practice
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-0409
MR. ROBERT NEWTON DOBBINS III RPH
Pharmacist
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-2537
DR. DWIGHT DAVID HART PSY.D.
Psychologist (Clinical)
2080 CHILD ST
JACKSONVILLE, FL 32214
Duval County (904) 542-3473

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 Alisa Russell's NPI number?

The NPI number for Alisa Russell is 1588190052. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Alisa Russell located?

Alisa Russell practices at 2080 Child St Bldg 964 Dental, Jacksonville, FL 32214. The listed phone number is (904) 546-7175.

What is Alisa Russell's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Alisa Russell was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.