person
William Russell, DMD
General Practice Dentistry in Jacksonville, Florida
NPI 1649638362

William Russell is a General Practice Dentistry based in Jacksonville, FL and is specialized in General Practice. William Russell practices in Jacksonville, FL and has the professional credentials of DMD. The NPI Number for William Russell is 1649638362 and holds a License No. (Florida).

The current practice location address for William Russell is 11645 Beach Blvd Ste 101, Jacksonville, FL and can be reached out via phone at 904-999-9000.

Location: 11645 Beach Blvd Ste 101, Jacksonville, FL, 32246-8496
person
Provider Profile Details
NPI Number
1649638362
Provider Name
William Russell
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
11645 Beach Blvd Ste 101, Jacksonville, FL, 32246-8496
Phone Number
904-999-9000
Fax Number
Provider Enumeration Date
02/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11645 Beach Blvd Ste 101
City
State
Zip
32246-8496
Phone Number
904-999-9000
Fax Number
person
Provider Business Mailing Address Details
Address
11645 Beach Blvd Ste 101
City
State
Zip
32246-8496
Phone Number
904-999-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
25610 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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