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Dr. Nicolas Henry Russo

Prosthodontist

1 Pinckney Blvd Naval Hospital Beaufort
Beaufort , South Carolina 29902-6122

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Image

Dr. Nicolas Henry Russo

Prosthodontist

1 Pinckney Blvd Naval Hospital Beaufort
Beaufort , South Carolina 29902-6122

(843) 228-5196

Write a Review Save Call

Dr. Nicolas Henry Russo

Prosthodontist

1 Pinckney Blvd Naval Hospital Beaufort
Beaufort , South Carolina 29902-6122

(843) 228-5196 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Prosthodontist

Languages spoken

  • English

Location

1 Pinckney Blvd Naval Hospital Beaufort Beaufort , South Carolina 29902-6122

First Address

  • Dr. Nicolas Henry Russo
  • 1 Pinckney Blvd Naval Hospital Beaufort
  • Beaufort, SC
  • Zip : 29902-6122
  • Fax : (843) 228-5196
  • Phone : (843) 228-5577

Second Address

  • Dr. Nicolas Henry Russo
  • 1 Pinckney Blvd Naval Hospital Beaufort
  • Beaufort, SC
  • Zip : 29902-6122
  • Fax : (843) 228-5196
  • Phone : (843) 228-5577

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FAQs


Where did Dr. Nicolas Henry Russo attend graduate school?

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Where did Dr. Nicolas Henry Russo do his residency?

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Where did Dr. Nicolas Henry Russo do his fellowship?

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Is Dr. Nicolas Henry Russo board certified?

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What type of doctor is Dr. Nicolas Henry Russo

Prosthodontist

In what state does Dr. Nicolas Henry Russo practice in?

South Carolina

Where is Dr. Nicolas Henry Russo ’s practice located?

1 Pinckney Blvd Naval Hospital Beaufort , Beaufort, South Carolina, 29902-6122

What is Dr. Nicolas Henry Russo ’s gender?

Male

Is Dr. Nicolas Henry Russo a sole practitioner?

No

Is Dr. Nicolas Henry Russo accepting new patients?

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What languages does Dr. Nicolas Henry Russo speak?

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Does Dr. Nicolas Henry Russo accept insurance?

Yes, Dr. Nicolas Henry Russo accepts insurance

Does Dr. Nicolas Henry Russo offers telemedicine?

Dr. Nicolas Henry Russo has not indicated if he offers telemedicine

What is Dr. Nicolas Henry Russo ’s professional license number?

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What is Dr. Nicolas Henry Russo ’s NPI number?

1205812765

Does Dr. Nicolas Henry Russo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0700X Prosthodontist 039175 NY

National Provider Identifier

NPI 1205812765
Provider Name Dr. Nicolas Henry Russo
First Address Beaufort, SC 29902-6122
Second Address Beaufort, SC 29902-6122
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/12/2005
Last Update Date 08/07/2007

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000OTH (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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