Active NPIIndividual provider

Dr. Melanie E Russo, DMD

Dentist, General Practice in Verona, New Jersey

NPI Number1003927302
Practice location
685 Bloomfield Ave, Suite 103, Verona, NJ 07044-1630
Fax
973-239-3312
Last updated
September 11, 2015

Melanie E Russo is a Dentist, General Practice based in Verona, NJ. Melanie E Russo practices in Verona, NJ and has the professional credentials of DMD. The NPI Number for Melanie E Russo is 1003927302 and holds a License No. D10178110 (NJ). The current practice location address for Melanie E Russo is 685 Bloomfield Ave, Suite 103, Verona, NJ 07044-1630 and can be reached out via phone at 973-239-3311 and via fax at 973-239-3312.

Provider Profile Details

NPI Number
1003927302
Provider Name
Melanie E Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
685 Bloomfield Ave, Suite 103, Verona, NJ 07044-1630
Phone Number
973-239-3311
Fax Number
973-239-3312
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
September 11, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
685 Bloomfield Ave
Suite 103
Verona, NJ 07044-1630
City
Verona
Zip
07044-1630
Phone Number
973-239-3311
Fax Number
973-239-3312
Verona, NJ 07044Get directions →

Provider Business Mailing Address Details

Address
685 Bloomfield Ave
Suite 103
Verona, NJ 07044-1630
City
Verona
State
NJ
Zip
07044-1630
Phone Number
973-239-3311
Fax Number
973-239-3312

License Information

License Number
D10178110
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Melanie E Russo, DMD?

The NPI number of Dr. Melanie E Russo, DMD is 1003927302. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Melanie E Russo, DMD?

Dr. Melanie E Russo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number D10178110.

Where does Dr. Melanie E Russo, DMD practice?

The practice location is 685 Bloomfield Ave, Suite 103, Verona, NJ 07044-1630. The office can be reached at 973-239-3311 (phone) or 973-239-3312 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003927302 directly on the NPPES registry website.

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