Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN RUSSO, D.M.D.
ActiveDR. JOHN RUSSO, D.M.D. is a Endodontics healthcare provider located in MIDDLETOWN, Connecticut. NPI 1053334086 is currently active in the NPPES registry. Verify at CMS.
Endodontics · MIDDLETOWN, CT
Registration Details
- NPI Number
- 1053334086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.090292987775 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4961 (CT)
Practice Information
- Address
-
535 SAYBROOK RDMIDDLETOWN, CT, 064574743Browse CT providers · Browse ZIP 06457
- Phone
- 8603477497
- Fax
- 8603440522
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.