Thomas D Russo, DMD
Dentist in Winchester, Massachusetts
1285836452- Practice location
- 63 Shore RD Ste 13, Winchester, MA 01890-2828
- Phone
- 781-721-4700
- Fax
- 781-729-0798
- Last updated
- July 9, 2007
Thomas David Russo is a Dentist based in Winchester, MA. Thomas David Russo practices in Winchester, MA and has the professional credentials of DMD. The NPI Number for Thomas David Russo is 1285836452 and holds a License No. 15641 (MA). The current practice location address for Thomas David Russo is 63 Shore RD Ste 13, Winchester, MA 01890-2828 and can be reached out via phone at 781-721-4700 and via fax at 781-729-0798.
Provider Profile Details
- NPI Number
- 1285836452
- Provider Name
- Thomas David Russo
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 63 Shore RD Ste 13, Winchester, MA 01890-2828
- Phone Number
- 781-721-4700
- Fax Number
- 781-729-0798
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 1, 2007
- Last Update Date
- July 9, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 Shore RD Ste 13
Winchester, MA 01890-2828 - City
- Winchester
- State
- Massachusetts
- Zip
- 01890-2828
- Phone Number
- 781-721-4700
- Fax Number
- 781-729-0798
Provider Business Mailing Address Details
- Address
- 63 Shore RD Ste 13
Winchester, MA 01890-2828 - City
- Winchester
- State
- MA
- Zip
- 01890-2828
- Phone Number
- 781-721-4700
- Fax Number
- 781-729-0798
License Information
- License Number
- 15641
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Winchester, MA
View all Dentists in Winchester →Frequently Asked Questions
What is the NPI number of Thomas D Russo, DMD?
The NPI number of Thomas D Russo, DMD is 1285836452. It was assigned on June 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Thomas D Russo, DMD?
Thomas D Russo, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 15641.
Where does Thomas D Russo, DMD practice?
The practice location is 63 Shore RD Ste 13, Winchester, MA 01890-2828. The office can be reached at 781-721-4700 (phone) or 781-729-0798 (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 1285836452 directly on the NPPES registry website.