David Wayne Russell is a Las Cruces, New Mexico based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of David Wayne Russell is
DD4897 for Dentistry in New Mexico. His current practice location is
4171 Northrise Drive, Las Cruces. Patients can reach him at
575-521-9375.
David Wayne Russell is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
David Wayne Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | David Wayne Russell |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4171 Northrise Drive, Las Cruces, New Mexico, 88011 |
| Phone: | 575-521-9375 |
| Fax: | 575-521-2637 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1164915294 |
| NPI Enumeration Date: | 13 Jun, 2018 |
| NPI Last Update On: | 12 Aug, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David Wayne Russell are as mentioned below.
| License Number | Specialization | State | Status | |
| DD4897 | Dentistry | New Mexico | Primary | |
| DD4897 | General Practice Dentistry | New Mexico | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with David Wayne Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 81627718 | Medicaid | New Mexico | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4171 Northrise Drive, Las Cruces, New Mexico |
| Zip: | 88011 |
| Phone Number: | 575-521-9375 |
| Fax Number: | 575-521-2637 |
Patients can reach David Wayne Russell at
4171 Northrise Drive, Las Cruces, New Mexico or can
call to book an appointment on 575-521-9375.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.