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Dr. Wynn Christopher Russo, DDS
General Practice Dentistry in Kenner, Louisiana
NPI 1881656403

Wynn Christopher Russo is a General Practice Dentistry based in Kenner, LA and is specialized in General Practice. Wynn Christopher Russo practices in Kenner, LA and has the professional credentials of DDS. The NPI Number for Wynn Christopher Russo is 1881656403 and holds a License No. 4223 (Louisiana).

The current practice location address for Wynn Christopher Russo is 2301 Williams Blvd, Kenner, LA and can be reached out via phone at 504-887-7811 and via fax at 504-469-5181. You can also correspond with Wynn Christopher Russo through the mailing address at 2301 WILLIAMS BLVD, KENNER, LA - 70062-5721 (mailing address contact number: 504-887-7811).

Location: 2301 Williams Blvd, Kenner, LA, 70062-5721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881656403
Provider Name
Wynn Christopher Russo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2301 Williams Blvd, Kenner, LA, 70062-5721
Phone Number
504-887-7811
Fax Number
504-469-5181
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1842231 05 LA
A-2040 01 LA BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2301 Williams Blvd
City
Kenner
State
Louisiana
Zip
70062-5721
Phone Number
504-887-7811
Fax Number
504-469-5181
person
Provider Business Mailing Address Details
Address
2301 Williams Blvd
City
Kenner
State
Louisiana
Zip
70062-5721
Phone Number
504-887-7811
Fax Number
504-469-5181
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4223 (Louisiana)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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