Dr. Jeffrey C Russo, DMD
Dentist, General Practice in East Windsor, Connecticut
1396862561- Practice location
- 148 North RD, East Windsor, CT 06088-9502
- Phone
- 860-627-5235
- Fax
- —
- Last updated
- July 8, 2007
Jeffrey Carl Russo is a Dentist, General Practice based in East Windsor, CT. Jeffrey Carl Russo practices in East Windsor, CT and has the professional credentials of DMD. The NPI Number for Jeffrey Carl Russo is 1396862561 and holds a License No. 9049 (CT). The current practice location address for Jeffrey Carl Russo is 148 North RD, East Windsor, CT 06088-9502 and can be reached out via phone at 860-627-5235.
Provider Profile Details
- NPI Number
- 1396862561
- Provider Name
- Jeffrey Carl Russo
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 148 North RD, East Windsor, CT 06088-9502
- Phone Number
- 860-627-5235
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 23, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 148 North RD
East Windsor, CT 06088-9502 - City
- East Windsor
- State
- Connecticut
- Zip
- 06088-9502
- Phone Number
- 860-627-5235
Provider Business Mailing Address Details
- Address
- 148 North RD
East Windsor, CT 06088-9502 - City
- East Windsor
- State
- CT
- Zip
- 06088-9502
- Phone Number
- 860-627-5235
License Information
- License Number
- 9049
- License State
- CT
- 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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- Dr. Lori A Leblanc, DDSDentist, General Practice · NPI 1851419170
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Frequently Asked Questions
What is the NPI number of Dr. Jeffrey C Russo, DMD?
The NPI number of Dr. Jeffrey C Russo, DMD is 1396862561. It was assigned on March 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jeffrey C Russo, DMD?
Dr. Jeffrey C Russo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 9049.
Where does Dr. Jeffrey C Russo, DMD practice?
The practice location is 148 North RD, East Windsor, CT 06088-9502. The office can be reached at 860-627-5235 (phone).
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 1396862561 directly on the NPPES registry website.