Richard G. Russo in Winter Haven - Dental Public Health

Richard G. Russo - NPI 1063553774

Richard G. Russo is a Dental Public Health in Winter Haven, Florida. Richard G. Russo practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Richard G. Russo is 1063553774. The last update date is 2023-03-07.

Richard G. Russo's current location address is 2500 21st St Nw Apt 79, Winter Haven, Florida. You can contact this provider via phone number 8632997748. The mailing address for Richard G. Russo is 2500 21st St Nw Apt 79, Winter Haven, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard G. Russo
Address 2500 21st St Nw Apt 79, Winter Haven, Florida
Phone Number 8632997748
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1063553774
Provider Enumeration Date 2007-02-08
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 2500 21st St Nw Apt 79
City Winter Haven
State Florida (FL)
Post Code 338811275
Phone Number 8632997748
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Public Health
Taxonomy 1223D0001X
Licence No DN10829
Definition:
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
72262600 FL --
DN10829 FL STATE LICENSE

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FAQs about Richard G. Russo

What is the unique provider identifier assigned to Richard G. Russo?

The Richard G. Russo has been issued the NPI (National Provider Identifier) 1063553774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Richard G. Russo is located?

The Richard G. Russo is situated at the following address: 2500 21St St Nw Apt 79, Winter Haven, FL, 338811275.

What is Richard G. Russo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Richard G. Russo is Dental Public Health, and the taxonomy code that classifies this field of practice is 1223D0001X.

On what date did the Richard G. Russo receive its 1063553774 assignment from the Centers for Medicare & Medicaid Services?

The Richard G. Russo was assigned its 1063553774 by the Centers for Medicare & Medicaid Services on 2007-02-08.

When was the Richard G. Russo's information last updated?

The Richard G. Russo's information was last updated on 2023-03-07.

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