IndividualActive
Alisa Russell, RDH
NPI 1588190052 · Dental Hygienist · Jacksonville, FL
Provider details
- NPI number
- 1588190052
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- DH 23693 (FL)
Specialties & taxonomies
Dental Providers
Practice location
2080 Child St
Bldg 964 Dental
Jacksonville, FL 32214-5005
Phone: (904) 546-7175
Approximate (ZIP-level) locationGet directions
Mailing address
2080 Child St
Jacksonville, FL 32214-5005
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.