Peter J Russo in Hyannis - Dentist

Peter J Russo - NPI 1053485672

Peter J Russo is a Dentist in Hyannis, Massachusetts. Peter J Russo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Peter J Russo is 1053485672. The last update date is 2007-07-08.

Peter J Russo's current location address is 63 Woodbury Ave, Hyannis, Massachusetts. You can contact this provider via phone number 6176994862 and fax number 5088325374. The mailing address for Peter J Russo is 63 Woodbury Ave, Hyannis, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter J Russo
Address 63 Woodbury Ave, Hyannis, Massachusetts
Phone Number 6176994862
Fax Number 5088325374
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1053485672
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 63 Woodbury Ave
City Hyannis
State Massachusetts (MA)
Post Code 2061
Phone Number 6176994862
Fax Number 5088325374

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19637
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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FAQs about Peter J Russo

What is the unique identifier code issued to Peter J Russo by the Centers for Medicare & Medicaid Services (CMS)?

The Peter J Russo has been assigned the NPI (National Provider Identifier) 1053485672. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Peter J Russo is physically located?

The Peter J Russo is situated at the following address: 63 Woodbury Ave, Hyannis, MA 2061.

What is Peter J Russo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Peter J Russo is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

When was the Peter J Russo's 1053485672 issued?

The Peter J Russo's 1053485672 was issued on 2006-11-17.

As of what date was the information pertaining to Peter J Russo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peter J Russo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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