DR. JOHN RUSSO (NPI# 1053334086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053334086 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSO |
| Credential | D.M.D. |
| Practice Address |
535 Saybrook Rd Middletown CT 06457-4743 |
| Mailing Address |
836 Farmington Ave Suite 115 West Hartford CT 06119-1505 |
| Practice Telephone | 8603477497 |
| Practice Fax Number | 8603440522 |
| Mailing Telephone | 8602320033 |
| Mailing Fax Number | 8602321132 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4961 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1558708156 | John P Russo | Internal Medicine | 5665 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-1701 | 2013-05-23 |
| 1174646426 | John Walter Russo | Social Worker | 70 W 11th St, Suite 1e, New York City, NY 10011 | 2007-04-09 |
| 1023131513 | John Joseph Russo | Dentist | 1101 El Camino Real, San Bruno, CA 94066-2405 | 2007-04-09 |
| 1346376415 | John Anthony Russo | Internal Medicine | 1500 Pleasant Valley Way Ste 201, West Orange, NJ 07052-2956 | 2007-02-25 |
| 1538276969 | John Russo | Dentist | 1704 Bay Rd, Sarasota, FL 34239-6810 | 2006-08-23 |
| 1114983442 | John J Russo | Optometrist | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 | 2006-04-25 |
| 1679538367 | John E Russo | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2006-04-18 |
| 1467858407 | John Russo | Physical Therapist | 4 E South St, Geneseo, NY 14454-1445 | 2014-11-18 |
| 1386926384 | John Christopher Russo | Pharmacist | 5285 Us Highway 1, Vero Beach, FL 32967-7601 | 2011-09-15 |
| Street Address |
535 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447283460 | Danuta Jaworska-bzymek | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457 | 2006-07-10 |
| 1174801898 | Middlesex Plastic Surgery Center,llc | Plastic Surgery | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2011-07-29 |
| 1043488422 | Ayman Maurice Latif | Podiatrist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2008-02-19 |
| 1932381894 | Connecticut Foot Care Centers LLC | Podiatrist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2007-12-03 |
| 1083826127 | Orthodontic Specialists of Central Connecticut | Dentist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2007-05-03 |
| 1659599488 | Mari Rebane-mazzotta | Surgery | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2007-04-24 |
| 1447303003 | Michael Brugg Dmd | Dentist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2007-01-18 |
| 1740345313 | Stephen Perlmutter | Podiatrist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2006-12-26 |
| 1538272992 | Paul Edward Zimmitti Sr. | Dentist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2006-08-17 |
| 1073524385 | Apollonia Dental LLC | Dentist | 535 Saybrook Rd, Middletown, CT 06457-4743 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093865289 | The Delaware Center for Endodontics and Microsurgery | Dentist | 114 Saint Annes Church Rd, Middletown, DE 19709-1495 | 2007-01-11 |
| 1740396530 | Erndt Yonchak & Agarwala Dds Ms Inc | Dentist | 150 N Breiel Blvd, Middletown, OH 45042 | 2006-08-22 |
| 1811121379 | Ident Dental At Middletown | Dentist | 453 Route 211 E, Suite 103, Middletown, NY 10940-2206 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041489 | Endodontic Solutions LLC | Dentist | 19 Ensign Dr, Avon, CT 06001-3705 | 2017-05-30 |
| 1871937359 | Lester C Reid | Dentist | 225 N Main St Ste 209, Bristol, CT 06010-4993 | 2013-04-26 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1669751939 | Professional Endodontics Ll | Dentist | 70 Howard St, Suite B, New London, CT 06320-4937 | 2011-08-04 |
| 1538392170 | Wolcott Street Dental-2, PC | Dentist | 144 Boston Ave, Bridgeport, CT 06610-1604 | 2009-08-31 |
| 1134359623 | Wolcott Street Dental-2, PC | Dentist | 728 Wolcott Street, Waterbury, CT 06705 | 2009-07-20 |
| 1568603934 | Wolcott Street Dental-1, PC | Dentist | 531 Elm St, New Haven, CT 06511-4549 | 2009-03-16 |
| 1952548208 | Rachele Luciano | Dentist | 366 Middle Tpke W, Manchester, CT 06040-3824 | 2009-01-08 |
| 1912156514 | Care Endodontics, P.C. | Dentist | 436 Farmington Ave, Hartford, CT 06105-4423 | 2008-09-18 |
| 1295993269 | New England Dental | Dentist | 54 Main St # F, Danbury, CT 06810-3009 | 2008-05-27 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.