Christopher John Russo in Longwood - Dentist
Christopher John Russo - NPI 1619141611
Christopher John Russo is a Dentist in Longwood, Florida. Christopher John Russo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Christopher John Russo is 1619141611. The last update date is 2013-03-27.
Christopher John Russo's current location address is 1979 Longwood Lake Mary Rd, Longwood, Florida. You can contact this provider via phone number 4073200785. The mailing address for Christopher John Russo is 1979 Longwood Lake Mary Rd, Longwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher John Russo |
|---|---|
| Address | 1979 Longwood Lake Mary Rd, Longwood, Florida |
| Phone Number | 4073200785 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619141611 |
|---|---|
| Provider Enumeration Date | 2008-04-22 |
| Last Updated Date | 2013-03-27 |
Provider Mailing Address Detail
| Address | 1979 Longwood Lake Mary Rd |
|---|---|
| City | Longwood |
| State | Florida (FL) |
| Post Code | 327504670 |
| Phone Number | 4073200785 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN15234 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Christopher John Russo by the Centers for Medicare & Medicaid Services?
The Christopher John Russo has been issued the NPI (National Provider Identifier) 1619141611 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Christopher John Russo is physically located?
The Christopher John Russo is physically situated at the following address: 1979 Longwood Lake Mary Rd, Longwood, FL, 327504670.
What is the Christopher John Russo's area of specialization and corresponding taxonomy classification?
The Christopher John Russo's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619141611 to Christopher John Russo?
The Centers for Medicare & Medicaid Services originally issued the 1619141611 to Christopher John Russo on 2008-04-22.
As of what date were the details related to Christopher John Russo most recently updated or revised?
The information pertaining to Christopher John Russo, including its address, specialty, and other relevant details, was last updated or revised on 2013-03-27.
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