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Dr. Charles D Russo, DMD
Oral and Maxillofacial Surgery (Dentist) in Coral Springs, Florida
NPI 1295803443

Charles D Russo is a Oral and Maxillofacial Surgery (Dentist) based in Coral Springs, FL and is specialized in Oral and Maxillofacial Surgery. Charles D Russo practices in Coral Springs, FL and has the professional credentials of DMD. The NPI Number for Charles D Russo is 1295803443 and holds a License No. DN008338 (Florida).

The current practice location address for Charles D Russo is 2801 N University Dr, Coral Springs, FL and can be reached out via phone at 954-752-1045 and via fax at 954-344-9651.

Location: 2801 N University Dr, Coral Springs, FL, 33065-5057
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295803443
Provider Name
Charles D Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2801 N University Dr, Coral Springs, FL, 33065-5057
Phone Number
954-752-1045
Fax Number
954-344-9651
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2801 N University Dr
City
Coral Springs
State
Florida
Zip
33065-5057
Phone Number
954-752-1045
Fax Number
954-344-9651
person
Provider Business Mailing Address Details
Address
2801 N University Dr
City
Coral Springs
State
Florida
Zip
33065-5057
Phone Number
954-752-1045
Fax Number
954-344-9651
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DN008338 (Florida)
Definition
The specialty of dentistry which includes 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.
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