Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER ANTHONY RUSSO, D.D.S.
Active Sole ProprietorPETER ANTHONY RUSSO, D.D.S. is a Periodontology healthcare provider located in HUNTINGTON BEACH, California. NPI 1104846849 is currently active in the NPPES registry. Verify at CMS.
Periodontology · HUNTINGTON BEACH, CA
Registration Details
- NPI Number
- 1104846849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.038402649454 yrs)
- Last Updated
- Jul 8, 2007
- License
-
41127 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18800 MAIN STSTE. 201HUNTINGTON BEACH, CA, 926481707Browse CA providers · Browse ZIP 92648
- Phone
- 7148422515
- Fax
- 7148477075
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in HUNTINGTON BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| DR. FREDERIC THOMAS HITE | D.D.S. | 1568531465 |
| THOMAS STEVEN ADAMICH | DDS | 1063579670 |
| DR. IYAD A SOOD | D.M.D. | 1447370184 |
| DR. JUSTIN MICHAEL BRAGA | D.D.S. | 1851525018 |
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.