DR. Angela Michelle Illuzzi-russo, DDS is an oral and maxillofacial surgery dentist in Portland, ME. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Angela Michelle Illuzzi-russo, DDS NPI is 1811041726. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
190 PARK AVE
PORTLAND, ME
ZIP 04102-000
Phone: (207) 874-1028
The NPI 1811041726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/4/2021.