Phillip Nicholas Russo in Pittsburgh - Dentist

Phillip Nicholas Russo - NPI 1992893689

Phillip Nicholas Russo is a Dentist in Pittsburgh, Pennsylvania. Phillip Nicholas Russo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Phillip Nicholas Russo is 1992893689. The last update date is 2007-07-08.

Phillip Nicholas Russo's current location address is 10493 Frankstown Road, Pittsburgh, Pennsylvania. You can contact this provider via phone number 4123712442 and fax number 4123713892. The mailing address for Phillip Nicholas Russo is 10493 Frankstown Road, Pittsburgh, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip Nicholas Russo
Address 10493 Frankstown Road, Pittsburgh, Pennsylvania
Phone Number 4123712442
Fax Number 4123713892
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1992893689
Provider Enumeration Date 2006-10-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10493 Frankstown Road
City Pittsburgh
State Pennsylvania (PA)
Post Code 15235
Phone Number 4123712442
Fax Number 4123713892

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DS026260L
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
185214 PA BCBS

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FAQs about Phillip Nicholas Russo

What is the Phillip Nicholas Russo's unique identification number?

The Phillip Nicholas Russo has been assigned the NPI (National Provider Identifier) Number 1992893689 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Phillip Nicholas Russo is physically located?

The Phillip Nicholas Russo is physically situated at the following address: 10493 Frankstown Road, Pittsburgh, PA, 15235.

What is Phillip Nicholas Russo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Phillip Nicholas Russo is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Phillip Nicholas Russo receive the assignment of its 1992893689 from the Centers for Medicare & Medicaid Services?

The Phillip Nicholas Russo was issued its 1992893689 by the Centers for Medicare & Medicaid Services on 2006-10-10.

As of what date were the details related to Phillip Nicholas Russo most recently updated or revised?

The information pertaining to Phillip Nicholas Russo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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