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Dr. Greg Thomas Russell, DMD
General Practice Dentistry in St Augustine, Florida
NPI 1548290091

Greg Thomas Russell is a General Practice Dentistry based in St Augustine, FL and is specialized in General Practice. Greg Thomas Russell practices in St Augustine, FL and has the professional credentials of DMD. The NPI Number for Greg Thomas Russell is 1548290091 and holds a License No. DN 8974 (Florida).

The current practice location address for Greg Thomas Russell is 2520 Us Highway 1 S, St Augustine, FL and can be reached out via phone at 904-797-7901 and via fax at 904-797-3423.

Location: 2520 Us Highway 1 S, St Augustine, FL, 32085-3184
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548290091
Provider Name
Greg Thomas Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2520 Us Highway 1 S, St Augustine, FL, 32085-3184
Phone Number
904-797-7901
Fax Number
904-797-3423
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2520 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-6194
Phone Number
904-797-7901
Fax Number
904-797-3423
person
Provider Business Mailing Address Details
Address
2520 Us Highway 1 S
City
St Augustine
State
Florida
Zip
32086-6194
Phone Number
904-797-7901
Fax Number
904-797-3423
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN 8974 (Florida)
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.
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