Joseph P. Russo, D.D.S. Pc

LBN: Joseph P. Russo, D.D.S. Pc
Joseph P. Russo, D.D.S. Pc is an health care organization with primary practice located at 15 W Water St , Wakefield MA 01880-2914. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Joseph P. Russo, D.D.S. Pc can be contacted via phone (781) 245-4400, or through Russo, Joseph P. via phone (781) 245-4400.

Contact Information

Primary practice address
15 W Water St Wakefield MA 01880-2914
Phone: (781) 245-4400
Fax: (781) 245-4400
Website:
Map and Directions
Authorized official contact:
Name: Russo, Joseph P. Doctor of Dental Surgery (DDS)
Phone: (781) 245-4400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12262 Massachusetts

Profile Details

NPI number 1285783902
LBN Legal business name Joseph P. Russo, D.D.S. Pc
DBA Doing business as
Authorized official Russo, Joseph P. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Aug 27th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285783902 NPPES
Massachusetts Other XO5115RU BCBSMA

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