Ignatius Russo

General Practice Dentistry · Mayfield Hts, OH

Individual Active NPI

NPI number 1710052121

Practice location

5875 Landerbrook Dr Ste 250
Mayfield Hts, OH 44124-6502
Phone
(800) 487-4867
Fax
(216) 593-7533

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NPI record

NPI
1710052121
Entity type
Individual (Type 1)
Enumeration date
November 21, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 30-013563 OH

About Ignatius Russo

Ignatius Russo is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502. The NPI number 1710052121 was assigned on November 21, 2006 and the record was last updated on July 8, 2007.

Ignatius Russo lists a license in the registry: #30-013563 (OH) 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 Ignatius Russo?

The NPI number is 1710052121.

What is the phone number of Ignatius Russo?

The phone number listed for the practice location is (800) 487-4867.

Where is Ignatius Russo located?

5875 Landerbrook Dr Ste 250, Mayfield Hts, OH 44124-6502.

What is the taxonomy code for Ignatius 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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