Dr David Lee Russell Sr, DMD, MS - Dentist in Fort Walton Beach, FL

Dr David Lee Russell Sr, DMD, MS is a Dentist - Pediatric Dentistry based in Fort Walton Beach, Florida. Dr David Lee Russell Sr is licensed to practice in Florida (license number 9126) and his current practice location is 14 Racetrack Rd Nw, Fort Walton Beach, Florida. He can be reached at his office (for appointments etc.) via phone at (850) 863-3194.

NPI number for Dr David Lee Russell Sr is 1336269109 and his current mailing address is 14 Racetrack Rd Nw, Fort Walton Beach, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336269109.

Contact Information

Dr David Lee Russell Sr, DMD, MS
14 Racetrack Rd Nw,
Fort Walton Beach, FL 32547-1642
(850) 863-3194
(850) 863-8875

Map and Direction




Healthcare Provider's Profile

Full NameDr David Lee Russell Sr
GenderMale
SpecialityDentist - Pediatric Dentistry
Location14 Racetrack Rd Nw, Fort Walton Beach, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336269109
  • Provider Enumeration Date: 03/29/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr David Lee Russell Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336269109NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 9126 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Lee Russell Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr David Lee Russell Sr, DMD, MS
14 Racetrack Rd Nw,
Fort Walton Beach, FL 32547-1642

Ph: (850) 863-3194
Dr David Lee Russell Sr, DMD, MS
14 Racetrack Rd Nw,
Fort Walton Beach, FL 32547-1642

Ph: (850) 863-3194

Reviews and Comments


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