Active NPIIndividual providerSole proprietor

Leo V Russ, DDS

Dentist, General Practice in Mahwah, New Jersey

NPI Number1992917488
Practice location
265 Westervelt Lane, Mahwah, NJ 07430
Fax
—
Last updated
July 8, 2007

Leo Victor Russ is a Dentist, General Practice based in Mahwah, NJ. Leo Victor Russ practices in Mahwah, NJ and has the professional credentials of DDS. The NPI Number for Leo Victor Russ is 1992917488 and holds a License No. 9019 (NJ). The current practice location address for Leo Victor Russ is 265 Westervelt Lane, Mahwah, NJ 07430 and can be reached out via phone at 201-825-2590.

Provider Profile Details

NPI Number
1992917488
Provider Name
Leo Victor Russ
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
265 Westervelt Lane, Mahwah, NJ 07430
Phone Number
201-825-2590
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
265 Westervelt Lane
Mahwah, NJ 07430
City
Mahwah
Zip
07430
Phone Number
201-825-2590
Mahwah, NJ 07430Get directions →

Provider Business Mailing Address Details

Address
265 Westervelt Lane
Mahwah, NJ 07430
City
Mahwah
State
NJ
Zip
07430
Phone Number
201-825-2590

License Information

License Number
9019
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Leo V Russ, DDS?

The NPI number of Leo V Russ, DDS is 1992917488. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Leo V Russ, DDS?

Leo V Russ, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 9019.

Where does Leo V Russ, DDS practice?

The practice location is 265 Westervelt Lane, Mahwah, NJ 07430. The office can be reached at 201-825-2590 (phone).

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 1992917488 directly on the NPPES registry website.

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