Active NPIIndividual provider

Dr. Roberto Russo, DDS

Dentist in Clifton, New Jersey

NPI Number1538258678
Practice location
400 Broad St, Clifton, NJ 07013
Fax
973-807-0514
Last updated
July 8, 2007

Roberto Russo is a Dentist based in Clifton, NJ. Roberto Russo practices in Clifton, NJ and has the professional credentials of DDS. The NPI Number for Roberto Russo is 1538258678 and holds a License No. DI18730 (NJ). The current practice location address for Roberto Russo is 400 Broad St, Clifton, NJ 07013 and can be reached out via phone at 973-478-4111 and via fax at 973-807-0514.

Provider Profile Details

NPI Number
1538258678
Provider Name
Roberto Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
400 Broad St, Clifton, NJ 07013
Phone Number
973-478-4111
Fax Number
973-807-0514
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 Broad St
Clifton, NJ 07013
Zip
07013
Phone Number
973-478-4111
Fax Number
973-807-0514
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
400 Broad St
Clifton, NJ 07013
City
Clifton
State
NJ
Zip
07013
Phone Number
973-478-4111
Fax Number
973-807-0514

License Information

License Number
DI18730
License State
NJ
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. Roberto Russo, DDS?

The NPI number of Dr. Roberto Russo, DDS is 1538258678. It was assigned on October 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Roberto Russo, DDS?

Dr. Roberto Russo, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number DI18730.

Where does Dr. Roberto Russo, DDS practice?

The practice location is 400 Broad St, Clifton, NJ 07013. The office can be reached at 973-478-4111 (phone) or 973-807-0514 (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 1538258678 directly on the NPPES registry website.

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