Thomas David Russo, D.M.D.

Dentist · Winchester, MA

Individual Active NPI

NPI number 1285836452

Practice location

63 Shore Rd Ste 13
Winchester, MA 01890-2828
Phone
(781) 721-4700
Fax
(781) 729-0798

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NPI record

NPI
1285836452
Entity type
Individual (Type 1)
Enumeration date
June 1, 2007
Last updated
July 9, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 15641 MA

About Dr. Russo

Thomas David Russo, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 63 Shore Rd Ste 13, Winchester, MA 01890-2828. The NPI number 1285836452 was assigned on June 1, 2007 and the record was last updated on July 9, 2007.

Dr. Russo lists a license in the registry: #15641 (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 Thomas David Russo, D.M.D.?

The NPI number is 1285836452.

What is the phone number of Dr. Russo?

The phone number listed for the practice location is (781) 721-4700.

Where is Dr. Russo located?

63 Shore Rd Ste 13, Winchester, MA 01890-2828.

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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