Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS ROY RUSSO, D.D.S.
Active Sole ProprietorDR. NICHOLAS ROY RUSSO, D.D.S. is a General Dentistry healthcare provider located in WEST ALLIS, Wisconsin. NPI 1134255672 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WEST ALLIS, WI
Registration Details
- NPI Number
- 1134255672
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2007 (19.275962174399 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2838 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6754 W BELOIT RDWEST ALLIS, WI, 532192068Browse WI providers · Browse ZIP 53219
- Phone
- 4143271210
- Fax
- 4143276850
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WEST ALLIS, WI
| Name | Credential | NPI |
|---|---|---|
| DR. CHAN D TRAN | DDS | 1285620682 |
| DR. RONALD HOWARD VERHULST | DDS | 1013978576 |
| DR. SABREEN O OWAIS | — | 1336175850 |
| DR. MOHAMED Z ADL | DDS | 1083640460 |
| DR. JULIE K BARON | DDS | 1629005731 |
| DR. AIRIGA J TUCKER-MIMS | DDS | 1750318861 |
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.