DR. DAVID LEE SR. RUSSELL (DMD, MS.) – Pediatric Dentistry, NPI 1336269109

DR. DAVID LEE SR. RUSSELL (DMD, MS.) is a healthcare provider. based in Fort walton beach, Florida. specializing in Pediatric Dentistry. They hold the professional credentials DMD, MS.. They hold a License No. 9126 (FL). The NPI Number for DR. DAVID LEE SR. RUSSELL (DMD, MS.) is 1336269109

Main info

Male
Sole Proprietor
Name
DR. DAVID LEE SR. RUSSELL (DMD, MS.)
NPI
1336269109
Phone
(850) 863-3194
Address
14 RACETRACK RD NW
Enumeration Date
29 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. DAVID LEE SR. RUSSELL (DMD, MS.)

  • 14 RACETRACK RD NW

    FORT WALTON BEACH, FL 325471642

    Phone: (850) 863-3194

    Fax: (850) 863-8875

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32547)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. DAVID LEE SR. RUSSELL (DMD, MS.)?
DR. DAVID LEE SR. RUSSELL (DMD, MS.) — NPI 1336269109 — is the standard way to identify this listing.
Is DR. DAVID LEE SR. RUSSELL (DMD, MS.) still practicing?
DR. DAVID LEE SR. RUSSELL (DMD, MS.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. DAVID LEE SR. RUSSELL (DMD, MS.)?
For research purposes, treat DR. DAVID LEE SR. RUSSELL (DMD, MS.) as Pediatric Dentistry in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. DAVID LEE SR. RUSSELL (DMD, MS.) on a map?
Expect Fort Walton Beach, Florida as a primary anchor for DR. DAVID LEE SR. RUSSELL (DMD, MS.) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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