person
Dr. Justin Russo, DDS
General Practice Dentistry in Raleigh, North Carolina
NPI 1205149275

Justin Russo is a General Practice Dentistry based in Raleigh, NC and is specialized in General Practice. Justin Russo practices in Raleigh, NC and has the professional credentials of DDS. The NPI Number for Justin Russo is 1205149275 and holds a License No. DS039342 (North Carolina).

The current practice location address for Justin Russo is 3811 Ed Dr Ste 120, Raleigh, NC and can be reached out via phone at 919-890-5147 and via fax at 919-890-5953.

Location: 3811 Ed Dr Ste 120, Raleigh, NC, 27612-2393
person
Provider Profile Details
NPI Number
1205149275
Provider Name
Justin Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
3811 Ed Dr Ste 120, Raleigh, NC, 27612-2393
Phone Number
919-890-5147
Fax Number
919-890-5953
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3811 Ed Dr Ste 120
City
State
Zip
27612-2393
Phone Number
919-890-5147
Fax Number
919-890-5953
person
Provider Business Mailing Address Details
Address
3811 Ed Dr Ste 120
City
State
Zip
27612-2393
Phone Number
919-890-5147
Fax Number
919-890-5953
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
DS039342 (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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