John Russo is a Endodontics in Middletown, Connecticut. John Russo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for John Russo is 1053334086. The last update date is 2007-07-08.
John Russo's current location address is 535 Saybrook Rd, Middletown, Connecticut. You can contact this provider via phone number 8603477497 and fax number 8603440522. The mailing address for John Russo is 535 Saybrook Rd, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Russo |
|---|---|
| Address | 535 Saybrook Rd, Middletown, Connecticut |
| Phone Number | 8603477497 |
| Fax Number | 8603440522 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1053334086 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 535 Saybrook Rd |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64574743 |
| Phone Number | 8603477497 |
| Fax Number | 8603440522 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 4961 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Post Comment/ Review Below
What is the John Russo's 1053334086?
The John Russo's NPI (National Provider Identifier) Number is 1053334086. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Russo is physically located?
The John Russo is situated at the following address: 535 Saybrook Rd, Middletown, CT 64574743.
What is the John Russo's specialty and taxonomy code?
The John Russo's specialty is Endodontics, and the corresponding taxonomy code is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1053334086 to John Russo?
The John Russo received its 1053334086 assignment from the Centers for Medicare & Medicaid Services on 2006-07-25.
When was the information related to John Russo most recently updated or refreshed?
The details pertaining to the John Russo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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