John Russo, DDS

Periodontics · Sarasota, FL

Individual Active NPI

NPI number 1538276969

Practice location

1704 Bay Rd
Sarasota, FL 34239-6810
Phone
(941) 955-3100
Fax
(941) 955-4769

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NPI record

NPI
1538276969
Entity type
Individual (Type 1)
Enumeration date
August 23, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Periodontics Primary 1223P0300X DN12786 FL

About Dr. Russo

John Russo, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 1704 Bay Rd, Sarasota, FL 34239-6810. The NPI number 1538276969 was assigned on August 23, 2006 and the record was last updated on July 8, 2007.

Dr. Russo lists a license in the registry: #DN12786 (FL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Russo, DDS?

The NPI number is 1538276969.

What is the phone number of Dr. Russo?

The phone number listed for the practice location is (941) 955-3100.

Where is Dr. Russo located?

1704 Bay Rd, Sarasota, FL 34239-6810.

What is the taxonomy code for Dr. Russo?

The primary taxonomy code is 1223P0300X – Periodontics.

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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