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Provider record

David Lee Russell DMD, Ms.

The public CMS NPPES listing for David Lee Russell DMD, Ms. places this Pediatric Dentistry record in Fort Walton Beach, FL. The practice address is shown as 14 Racetrack Rd Nw, Fort Walton Beach, FL. NPPES also reports a phone number. Verify details before visiting or calling.

NPI1336269109
Entity typeIndividual
Reported phone(850) 863-3194
SourceCMS NPPES

National Plan and Provider Enumeration System

Source checkedJune 3, 2026

Data pulled and checked

NPPES statusActive

Reported to NPPES

Directory statusIndependent

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NPI and status

Source-labeled identifiers and reported record state.

Active
NPI
1336269109
Entity type
Individual
NPPES status
Reported active
License status
Not primary-source verified

Practice location

Practice address and phone as reported in CMS NPPES.

Address
14 Racetrack Rd Nw
Fort Walton Beach, FL 32547-1642
Phone
(850) 863-3194

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Nearby dentists

Approximate straight-line distance from this practice location.

Taxonomy and source

Specialty taxonomy is source-reported and not a quality or license determination.

Taxonomy code
1223P0221X
Specialty
Pediatric Dentistry
Source
CMS NPPES
Last updated
May 26, 2026