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DR. JACOB RUSSELL DDS
NPI 1750411963
Dentist - General Practice in La Jolla, CA

Active since March 06, 2007
525 NAUTILUS ST, LA JOLLA, CA 92037(858) 459-4113(858) 459-4125 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacob Russell Dds NPPES

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

DR. JACOB RUSSELL DDS (NPI 1750411963) is an individual general practice provider in La Jolla, California, licensed in California (26521) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1750411963
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB RUSSELLCredential: DDS
Location Address525 NAUTILUS STLa Jolla, CA 92037-6139
Mailing Address525 Nautilus StLa Jolla, CA 92037-6139 · (858) 459-4113 · Fax (858) 459-4125
Phone(858) 459-4113
Fax(858) 459-4125
Sole ProprietorYes
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750411963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 26521
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
525 NAUTILUS ST, La Jolla, CA 92037
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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.

IRENE NOSRATI, DDS, AND EREZ NOSRATI, DMD, INC.
Dentist (General Practice)
525 NAUTILUS ST
LA JOLLA, CA 92037
San Diego County (317) 507-9033
EREZ NOSRATI, DMD, INC.
Dentist (Periodontics)
525 NAUTILUS ST
LA JOLLA, CA 92037
San Diego County (312) 731-5554

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 Jacob Russell's NPI number?

The NPI number for Jacob Russell is 1750411963. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jacob Russell located?

Jacob Russell practices at 525 Nautilus St, La Jolla, CA 92037. The listed phone number is (858) 459-4113.

What is Jacob Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob 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.