Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649638362 Individual Practitioner Male Practitioner

Dr. William Russell , DMD

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. William Russell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 11645 BEACH BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11645 Beach Blvd Ste 101

Jacksonville, FL 322468496

Telephone 9049999000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 25610

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1679931307

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 21, 2021

Registered at 11645 BEACH BLVD STE 101, JACKSONVILLE, FL 322468496 (Tel: 9049999000)

📍
Updated Business Mailing Address October 21, 2021

Registered at 11645 BEACH BLVD STE 101, JACKSONVILLE, FL 322468496 (Tel: 9049999000)

👤
Provider Name / Credentials Updated October 21, 2021

Recorded as WILLIAM RUSSELL, DMD

NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2016

Registered at 45 SYCAMORE AVE, APT 622, CHARLESTON, SC 294076710 (Tel: 8036656998)

📍
Updated Business Mailing Address February 09, 2016

Registered at 45 SYCAMORE AVE, APT 622, CHARLESTON, SC 294076710 (Tel: 8036656998)

👤
Provider Name / Credentials Updated February 09, 2016

Recorded as WILLIAM RUSSELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 09, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649638362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2016
Last Update: October 21, 2021
Sole Proprietor: No

Mailing Address

11645 Beach Blvd Ste 101

Jacksonville, FL 322468496

Phone: 9049999000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.