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DR. RICHARD G. RUSSO DMD NPI 1063553774


NPI Information

NPI: 1063553774
Provider Name: DR. RICHARD G. RUSSO, DMD
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
832 W CENTRAL BLVD
ORLANDO, FL
ZIP 32805
Phone: (407) 836-2616
Get Directions

DR. Richard G. Russo, DMD is a dental public health dentist in Orlando, FL. The provider is 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 with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR. Richard G. Russo, DMD NPI is 1063553774. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

832 W CENTRAL BLVD
ORLANDO, FL
ZIP 32805-809
Phone: (407) 836-2616

The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthDN10829FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1072262600MEDICAIDFLORIDA
2DN10829OTHERFLORIDASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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