Dr. Mary K Russo, DMD
Dentist, General Practice in Sea Girt, New Jersey
1710030234- Practice location
- 804 Highway 71, Sea Girt, NJ 08750-2807
- Phone
- 732-449-6564
- Fax
- 732-449-8606
- Last updated
- July 10, 2015
Mary Kathleen Russo is a Dentist, General Practice based in Sea Girt, NJ. Mary Kathleen Russo practices in Sea Girt, NJ and has the professional credentials of DMD. The NPI Number for Mary Kathleen Russo is 1710030234 and holds a License No. 22DI02293800 (NJ). The current practice location address for Mary Kathleen Russo is 804 Highway 71, Sea Girt, NJ 08750-2807 and can be reached out via phone at 732-449-6564 and via fax at 732-449-8606.
Provider Profile Details
- NPI Number
- 1710030234
- Provider Name
- Mary Kathleen Russo
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 804 Highway 71, Sea Girt, NJ 08750-2807
- Phone Number
- 732-449-6564
- Fax Number
- 732-449-8606
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- July 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 804 Highway 71
Sea Girt, NJ 08750-2807 - City
- Sea Girt
- State
- New Jersey
- Zip
- 08750-2807
- Phone Number
- 732-449-6564
- Fax Number
- 732-449-8606
Provider Business Mailing Address Details
- Address
- 808 Spray Ave
Beachwood, NJ 08722-4626 - City
- Beachwood
- State
- NJ
- Zip
- 08722-4626
- Phone Number
- 973-747-5383
- Fax Number
- 732-449-6564
License Information
- License Number
- 22DI02293800
- License State
- NJ
- 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. | |||
Other Dentist, General Practice providers near Sea Girt, NJ
View all Dentist, General Practice providers in Sea Girt →- Aileen AlmonteDentist, General Practice · NPI 1861056020
- Anastasia Talalenko, DMDDentist, General Practice · NPI 1346867850
- Brighter Smiles Family Dental, PADentist, General Practice · NPI 1033484654
- Dr. Jennifer Christopher, DMDDentist, General Practice · NPI 1861414146
- Dr. Robert M Belott, DDSDentist, General Practice · NPI 1245339100
- Dr. Shalin Jani, DMDDentist, General Practice · NPI 1538223789
Frequently Asked Questions
What is the NPI number of Dr. Mary K Russo, DMD?
The NPI number of Dr. Mary K Russo, DMD is 1710030234. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary K Russo, DMD?
Dr. Mary K Russo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02293800.
Where does Dr. Mary K Russo, DMD practice?
The practice location is 804 Highway 71, Sea Girt, NJ 08750-2807. The office can be reached at 732-449-6564 (phone) or 732-449-8606 (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 1710030234 directly on the NPPES registry website.