Individual provider · Type 1 NPI

Alisa L. Russell, RDH

Dental Hygienist · Jacksonville, FL

NPI number 1588190052 Active

Practice location

2080 Child St, Bldg 964 Dental
Jacksonville, FL 32214-5005

Call (904) 546-7175 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH 23693 (FL)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1588190052

Alisa L. Russell, RDH's National Provider Identifier is 1588190052, issued on May 3, 2017. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Jacksonville, FL. The record was last updated on May 3, 2017.