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Gregory Russo JR.
General Practice Dentistry in Vernon, Connecticut
NPI 1902025877

Gregory Russo JR. is a General Practice Dentistry based in Vernon, CT and is specialized in General Practice. Gregory Russo JR. practices in Vernon, CT. The NPI Number for Gregory Russo JR. is 1902025877 and holds a License No. 8923 (Connecticut).

The current practice location address for Gregory Russo JR. is 351 Merline Rd, Vernon, CT and can be reached out via phone at 860-875-5664 and via fax at 860-875-0520.

Location: 351 Merline Rd, Vernon, CT, 06066-4040
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902025877
Provider Name
Gregory Russo JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
351 Merline Rd, Vernon, CT, 06066-4040
Phone Number
860-875-5664
Fax Number
860-875-0520
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
351 Merline Rd
City
Vernon
State
Connecticut
Zip
06066-4040
Phone Number
860-875-5664
Fax Number
860-875-0520
person
Provider Business Mailing Address Details
Address
351 Merline Rd
City
Vernon
State
Connecticut
Zip
06066-4040
Phone Number
860-875-5664
Fax Number
860-875-0520
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
8923 (Connecticut)
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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