Active NPIIndividual provider

Dr. Jane A Russo, DMD

Dentist in Fairfield, Connecticut

NPI Number1396994935
Practice location
1305 Post RD, Suite 104, Fairfield, CT 06824-6016
Fax
203-256-8378
Last updated
February 25, 2009

Jane A. Russo is a Dentist based in Fairfield, CT. Jane A. Russo practices in Fairfield, CT and has the professional credentials of DMD. The NPI Number for Jane A. Russo is 1396994935 and holds a License No. 007020 (CT). The current practice location address for Jane A. Russo is 1305 Post RD, Suite 104, Fairfield, CT 06824-6016 and can be reached out via phone at 203-256-8073 and via fax at 203-256-8378.

Provider Profile Details

NPI Number
1396994935
Provider Name
Jane A. Russo
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1305 Post RD, Suite 104, Fairfield, CT 06824-6016
Phone Number
203-256-8073
Fax Number
203-256-8378
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
September 18, 2008
Last Update Date
February 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1305 Post RD
Suite 104
Fairfield, CT 06824-6016
Zip
06824-6016
Phone Number
203-256-8073
Fax Number
203-256-8378
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
1305 Post RD
Suite 104
Fairfield, CT 06824-6016
City
Fairfield
State
CT
Zip
06824-6016
Phone Number
203-256-8073
Fax Number
203-256-8378

License Information

License Number
007020
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Dr. Jane A Russo, DMD?

The NPI number of Dr. Jane A Russo, DMD is 1396994935. It was assigned on September 18, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jane A Russo, DMD?

Dr. Jane A Russo, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 007020.

Where does Dr. Jane A Russo, DMD practice?

The practice location is 1305 Post RD, Suite 104, Fairfield, CT 06824-6016. The office can be reached at 203-256-8073 (phone) or 203-256-8378 (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 1396994935 directly on the NPPES registry website.

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