Peter J. Russo, DMD

Dentist · Auburn, MA

Individual Active NPI

NPI number 1053485672

Practice location

567 Southbridge
Auburn, MA 01520
Phone
(508) 832-3317
Fax
(508) 832-5374

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NPI record

NPI
1053485672
Entity type
Individual (Type 1)
Enumeration date
November 17, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 19637 MA

Mailing address

63 Woodbury Ave
Hyannis, MA 02061
Phone
(617) 699-4862
Fax
(508) 832-5374

About Dr. Russo

Peter J. Russo, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 567 Southbridge, Auburn, MA 01520. The NPI number 1053485672 was assigned on November 17, 2006 and the record was last updated on July 8, 2007.

Dr. Russo lists a license in the registry: #19637 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter J. Russo, DMD?

The NPI number is 1053485672.

What is the phone number of Dr. Russo?

The phone number listed for the practice location is (508) 832-3317.

Where is Dr. Russo located?

567 Southbridge, Auburn, MA 01520.

What is the taxonomy code for Dr. Russo?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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