Dr. Greg Thomas Russell , DMD
Dentist - General Practice • St. Augustine, FL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Greg Russell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Greg Russell, DMD was a registered Dentist - General Practice practicing in St. Augustine, FL. Throughout an active medical career spanning 19 years, Dr. Russell provided care at the practice location at 2535 U. S. HIGHWAY 1 SO until profile deactivation on 2025-12-04.
Practice Location & Contact Primary Location
2535 U. S. Highway 1 So
Suite 2
St. Augustine, FL 32086
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in St. Augustine, FL
Practicing in St. Augustine, FL (7473 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 04, 2025
Registered at 2520 US HIGHWAY 1 S, ST AUGUSTINE, FL 320866194 (Tel: 9047977901)
NPI status registered as active in NPPES database
Registered at 2535 U. S. HIGHWAY 1 SO, SUITE 2, ST. AUGUSTINE, FL 32086 (Tel: 9047977901)
Registered at PO BOX 3184, ST AUGUSTINE, FL 320853184 (Tel: 9047977901)
Recorded as GREG RUSSELL, D.M.D.
Dentist (License #DN 8974 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 3184
St Augustine, FL 320853184
Phone: 9047977901
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