Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Russell, DDS

Individual provider General Practice Dentistry · NPI 1750411963

Dr. Jacob Russell, DDS is a General Practice Dentistry in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

525 Nautilus St
LA Jolla, CA 92037-6139
Phone: (858) 459-4113
Fax: (858) 459-4125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 26521 (CA)

Record details

NPI number1750411963
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 6, 2007
Last updated in NPPESJuly 8, 2007
Mailing address525 Nautilus St, La Jolla, CA 92037-6139

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