Individual provider · Type 1 NPI

Jacob Russell, DDS

General Practice Dentistry · La Jolla, CA

NPI number 1750411963 Active

Practice location

525 Nautilus St
La Jolla, CA 92037-6139

Call (858) 459-4113 Map

Fax (858) 459-4125

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X26521 (CA)

General Practice Dentistry: 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.

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About NPI 1750411963

Jacob Russell, DDS's National Provider Identifier is 1750411963, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in La Jolla, CA. The record was last updated on Jul 8, 2007.