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Dr. Antonino Russo, DDS
Orthodontics and Dentofacial Orthopedic Dentist in Port Jefferson Station, New York
NPI 1497860837

Antonino Russo is a Orthodontics and Dentofacial Orthopedic Dentist based in Port Jefferson Station, NY and is specialized in Orthodontics and Dentofacial Orthopedics. Antonino Russo practices in Port Jefferson Station, NY and has the professional credentials of DDS. The NPI Number for Antonino Russo is 1497860837 and holds a License No. 38381 (New York).

The current practice location address for Antonino Russo is 5225 Nesconset Hwy, Port Jefferson Station, NY and can be reached out via phone at 631-473-6661 and via fax at 631-473-6967. You can also correspond with Antonino Russo through the mailing address at 5225 NESCONSET HWY, PORT JEFFERSON STATION, NY - 11776-2053 (mailing address contact number: 631-473-6661).

Location: 5225 Nesconset Hwy, Port Jefferson Station, NY, 11776-2053
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497860837
Provider Name
Antonino Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
5225 Nesconset Hwy, Port Jefferson Station, NY, 11776-2053
Phone Number
631-473-6661
Fax Number
631-473-6967
Provider Enumeration Date
08/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5225 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2053
Phone Number
631-473-6661
Fax Number
631-473-6967
person
Provider Business Mailing Address Details
Address
5225 Nesconset Hwy
City
Port Jefferson Station
State
New York
Zip
11776-2053
Phone Number
631-473-6661
Fax Number
631-473-6967
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
38381 (New York)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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