Jacqueline Russo, DDS
General Practice Dentistry · Boynton Beach, FL
Practice location
11676 Dunes RdBoynton Beach, FL 33436-5503
- Phone
- (561) 212-9405
NPI record
- NPI
- 1225558604
- Entity type
- Individual (Type 1)
- Enumeration date
- June 26, 2017
- Last updated
- June 26, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN12954 | FL |
About Dr. Russo
Jacqueline Russo, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 11676 Dunes Rd, Boynton Beach, FL 33436-5503. The NPI number 1225558604 was assigned on June 26, 2017 and the record was last updated on June 26, 2017.
Dr. Russo lists a license in the registry: #DN12954 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jacqueline Russo, DDS?
The NPI number is 1225558604.
What is the phone number of Dr. Russo?
The phone number listed for the practice location is (561) 212-9405.
Where is Dr. Russo located?
11676 Dunes Rd, Boynton Beach, FL 33436-5503.
What is the taxonomy code for Dr. Russo?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
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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