Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David Lee Russell Sr., DMD, MS

Individual provider Pediatric Dentistry · NPI 1336269109

Dr. David Lee Russell Sr., DMD, MS is a Pediatric Dentistry in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

14 Racetrack Rd NW
Fort Walton Beach, FL 32547-1642
Phone: (850) 863-3194
Fax: (850) 863-8875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9126 (FL)

Record details

NPI number1336269109
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MS
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 8, 2007

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