Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLAS HENRY RUSSO, DMD
ActiveDR. NICOLAS HENRY RUSSO, DMD is a Pediatric Dentistry healthcare provider located in BEAUFORT, South Carolina. NPI 1205812765 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · BEAUFORT, SC
Registration Details
- NPI Number
- 1205812765
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 16, 2005 (20.630019677281 yrs)
- Last Updated
- Jul 8, 2007
- License
-
039175 (NY)
Practice Information
- Address
-
1 PINCKNEY BLVDNAVAL HOSPITAL BEAUFORTBEAUFORT, SC, 299026122Browse SC providers · Browse ZIP 29902
- Phone
- 8432285577
- Fax
- 8432285196
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in BEAUFORT, SC
| Name | Credential | NPI |
|---|---|---|
| WILLIAM NIELSEN NORMAN | DMD | 1164408639 |
| DR. MARY ANGELA BRAFFORD | D.M.D., M.S. | 1053381681 |
| DR. GEOFFREY LEE WARD | DDS, MS | 1760751770 |
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.