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Dr. Richard G. Russo

Dental Public Health

832 W Central Blvd
Orlando , Florida 32805-1809

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Dr. Richard G. Russo

Dental Public Health

832 W Central Blvd
Orlando , Florida 32805-1809

(863) 299-7748

Write a Review Save Call

Dr. Richard G. Russo

Dental Public Health

832 W Central Blvd
Orlando , Florida 32805-1809

(863) 299-7748 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dental Public Health

Languages spoken

  • English

Location

832 W Central Blvd Orlando , Florida 32805-1809

First Address

  • Dr. Richard G. Russo
  • 2500 21st St Nw Apt 79
  • Winter Haven, FL
  • Zip : 33881-1275
  • Phone : (863) 299-7748

Second Address

  • Dr. Richard G. Russo
  • 832 W Central Blvd
  • Orlando, FL
  • Zip : 32805-1809
  • Phone : (407) 836-2616

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FAQs


Where did Dr. Richard G. Russo attend graduate school?

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Where did Dr. Richard G. Russo do his residency?

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Where did Dr. Richard G. Russo do his fellowship?

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Is Dr. Richard G. Russo board certified?

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What type of doctor is Dr. Richard G. Russo

Dental Public Health

In what state does Dr. Richard G. Russo practice in?

Florida

Where is Dr. Richard G. Russo ’s practice located?

832 W Central Blvd , Orlando, Florida, 32805-1809

What is Dr. Richard G. Russo ’s gender?

Male

Is Dr. Richard G. Russo a sole practitioner?

No

Is Dr. Richard G. Russo accepting new patients?

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What languages does Dr. Richard G. Russo speak?

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Does Dr. Richard G. Russo accept insurance?

Yes, Dr. Richard G. Russo accepts insurance

Does Dr. Richard G. Russo offers telemedicine?

Dr. Richard G. Russo has not indicated if he offers telemedicine

What is Dr. Richard G. Russo ’s professional license number?

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What is Dr. Richard G. Russo ’s NPI number?

1063553774

Does Dr. Richard G. Russo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223D0001X Dental Public Health DN10829 FL

National Provider Identifier

NPI 1063553774
Provider Name Dr. Richard G. Russo
First Address Winter Haven, FL 33881-1275
Second Address Orlando, FL 32805-1809
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/02/2007
Last Update Date 22/06/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
072262600 (05) FL
BR0393164 DEA NUMBER (01)
DN10829 STATE LICENSE (01) FL

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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