Mia Francesca Russo, DMD
Dentist · Longmeadow, MA
Practice location
110 Lawnwood AveLongmeadow, MA 01106-3021
- Phone
- (413) 335-2408
NPI record
- NPI
- 1497313159
- Entity type
- Individual (Type 1)
- Enumeration date
- May 29, 2019
- Last updated
- November 20, 2020
- Certified
- November 20, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
DEN03464 | RI |
| Student in an Organized Health Care Education/Training Program | 390200000X |
— | — |
About Dr. Russo
Mia Francesca Russo, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 110 Lawnwood Ave, Longmeadow, MA 01106-3021. The NPI number 1497313159 was assigned on May 29, 2019 and the record was last updated on November 20, 2020.
Dr. Russo lists a license in the registry: #DEN03464 (RI) 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 Mia Francesca Russo, DMD?
The NPI number is 1497313159.
What is the phone number of Dr. Russo?
The phone number listed for the practice location is (413) 335-2408.
Where is Dr. Russo located?
110 Lawnwood Ave, Longmeadow, MA 01106-3021.
What is the taxonomy code for Dr. Russo?
The primary taxonomy code is 122300000X – Dentist; 1 more listed above.
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.
Other Dentist providers in Longmeadow
- Andrew Bonavita Dmdpc123 Dwight Rd