Joseph P. Russo, D.d.s. PC
Dentist, General Practice in Wakefield, Massachusetts
1285783902- Practice location
- 15 W Water St, Wakefield, MA 01880-2914
- Phone
- 781-245-4400
- Fax
- 781-245-4400
- Last updated
- August 27, 2020
Joseph P. Russo, D.d.s. PC is a healthcare organization based in Wakefield, MA. Joseph P. Russo, D.d.s. PC practices in Wakefield, MA. The NPI Number for Joseph P. Russo, D.d.s. PC is 1285783902 and holds a License No. 12262 (MA). The current practice location address for Joseph P. Russo, D.d.s. PC is 15 W Water St, Wakefield, MA 01880-2914 and can be reached out via phone at 781-245-4400 and via fax at 781-245-4400.
Provider Profile Details
- NPI Number
- 1285783902
- Provider Name
- Joseph P. Russo, D.d.s. PC
- Provider Entity Type
- Organization
- Address
- 15 W Water St, Wakefield, MA 01880-2914
- Phone Number
- 781-245-4400
- Fax Number
- 781-245-4400
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Joseph P. Russo, DDS · Owner · 781-245-4400
- Provider Enumeration Date
- January 10, 2007
- Last Update Date
- August 27, 2020
- Certification Date
- August 27, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 W Water St
Wakefield, MA 01880-2914 - City
- Wakefield
- State
- Massachusetts
- Zip
- 01880-2914
- Phone Number
- 781-245-4400
- Fax Number
- 781-245-4400
Provider Business Mailing Address Details
- Address
- 15 W Water St
Wakefield, MA 01880-2914 - City
- Wakefield
- State
- MA
- Zip
- 01880-2914
- Phone Number
- 781-245-4400
- Fax Number
- 781-245-4400
License Information
- License Number
- 12262
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Joseph P. Russo, D.d.s. PC?
The NPI number of Joseph P. Russo, D.d.s. PC is 1285783902. It was assigned on January 10, 2007 and is currently active in the NPPES registry.
What is the specialty of Joseph P. Russo, D.d.s. PC?
Joseph P. Russo, D.d.s. PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 12262.
Where does Joseph P. Russo, D.d.s. PC practice?
The practice location is 15 W Water St, Wakefield, MA 01880-2914. The office can be reached at 781-245-4400 (phone) or 781-245-4400 (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 1285783902 directly on the NPPES registry website.