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

William Russell, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649638362

William Russell, DMD is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

11645 Beach Blvd Ste 101
Jacksonville, FL 32246-8496
Phone: (904) 999-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 25610 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649638362
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 9, 2016
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address11645 Beach Blvd Ste 101, Jacksonville, FL 32246-8496

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