DR. CHARLES D RUSSO (NPI# 1295803443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295803443 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D RUSSO |
| Credential | D.M.D. |
| Practice Address |
2801 N University Dr Suite 102 Coral Springs FL 33065-5057 |
| Practice Telephone | 9547521045 |
| Practice Fax Number | 9543449651 |
| Mailing Telephone | 9547521045 |
| Mailing Fax Number | 9543449651 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN008338 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376724021 | Charles V Russo | Pharmacist | 906 Janis St, New Roads, IA 70760-2920 | 2007-11-23 |
| 1942264189 | Charles Lance Russo | Podiatrist | 481 St Marks Ave, Brooklyn, NY 11238 | 2006-04-14 |
| 1588633614 | Charles Damin Russo | Internal Medicine | 4725 N Federal Hwy, Suite 401, Fort Lauderdale, FL 33308 | 2006-03-14 |
| 1245225903 | Charles E. Russo | Specialist | 2855 Gramercy St, Houston, TX 77025-1635 | 2005-09-19 |
| Street Address |
2801 N UNIVERSITY DR SUITE 102 |
| City | CORAL SPRINGS |
| State | FL |
| Zip Code | 33065-5057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134228810 | Eugenio Conte | Dentist | 2801 N University Dr, Ste 202, Coral Springs, FL 33065-5057 | 2006-09-21 |
| 1225293244 | Burak Taskonak | Dentist | 2801 N University Dr, Suite 202, Coral Springs, FL 33065-5057 | 2008-07-21 |
| 1306035423 | Charles D. Russo, Dmd,pa | Dentist | 2801 N University Dr, Suite 102, Coral Springs, FL 33065-5057 | 2007-10-16 |
| 1740406529 | Coral Springs Family Dental Associates | Dentist | 2801 N University Dr, Suite 101, Coral Springs, FL 33065-5057 | 2007-04-18 |
| 1902928963 | Blair Scharf | Dentist | 2801 N University Dr, Suite 101, Coral Springs, FL 33065-5057 | 2007-04-03 |
| 1740389345 | E.c. Dentistry | Dentist | 2801 N University Dr, Suite 202, Coral Springs, FL 33065-5057 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899418 | United Adult Care Services, LLC | Home Health | 11448 West Sample Rd, Coral Springs, FL 33065 | 2020-07-28 |
| 1245872068 | Grace Diana Perez | Developmental Therapist | 3325 N University Drive, Coral Springs, FL 33065 | 2019-10-14 |
| 1497397210 | Anjulia Maureen Nicholson | Speech-Language Pathologist | 3100 Coral Hills Dr Suite 200, Coral Springs, FL 33065 | 2019-10-14 |
| 1467911131 | Sawgrass Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 12415 Nw 35 Street, Coral Springs, FL 33065 | 2019-03-13 |
| 1992274252 | Kayon Shepherd | Dermatology | 7837 West Sample Rd, #127, Coral Springs, FL 33065 | 2018-11-15 |
| 1073009148 | Empire Detox, LLC | Clinic/Center | 3000 Nw 101st Ln Ste 101-a, Coral Springs, FL 33065 | 2018-07-02 |
| 1487148706 | Perfect Balance Healthcare, Pllc | Pharmacist | 7500 Live Oak Dr., Coral Springs, FL 33065 | 2018-06-20 |
| 1477051498 | Neuro Wellness Centers of America, LLC | Clinic/Center | 9734 W Sample Rd, Coral Springs, FL 33065 | 2018-01-24 |
| 1821502550 | Happy Adult Day Care Rehab, LLC | Clinic/Center | 7463 W Sample Rd, Coral Springs, FL 33065 | 2017-11-16 |
| 1821500059 | I'd Rather Be Home Homecare Services LLC | Registered Nurse | 7501 Nw 42nd Drive, Coral Springs, FL 33065 | 2017-10-27 |
| Find all providers in zip 33065 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669740650 | Stuart M. Hirsch, D.m.d. P.a. | Dentist | 7305 West Sample Rd, Suite 102, Coral Springs, FL 33065-2251 | 2011-12-06 |
| 1023219771 | Maikel Segui | Dentist | 2123 N University Dr, Coral Springs, FL 33071-6134 | 2007-05-30 |
| 1821118795 | Jeffrey F. Elliot | Dentist | 9600 W Sample Rd, Suite 504, Coral Springs, FL 33065-4045 | 2007-04-02 |
| 1447281720 | Juan G Lopez | Dentist | 5531 N University Dr, Suite 104, Coral Springs, FL 33067-4649 | 2006-07-05 |
| 1013965391 | Stuart Miles Hirsch | Dentist | 7305 W Sample Rd, Coral Springs, FL 33065-2258 | 2006-05-05 |
| 1891037362 | Maikel Segui Dds Pa | Dentist | 2123 N University Dr, Coral Springs, FL 33071-6134 | 2013-03-22 |
| 1376890673 | South Florida Dental Surgical Specialists Pa | Dentist | 9600 W Sample Rd, Suite 504, Coral Springs, FL 33065-4045 | 2012-08-06 |
| 1306035423 | Charles D. Russo, Dmd,pa | Dentist | 2801 N University Dr, Suite 102, Coral Springs, FL 33065-5057 | 2007-10-16 |
| 1649202615 | Eric Grant Fox | Dentist | 5551 N University Dr, # 203, Coral Springs, FL 33067-4651 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
| 1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
| 1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
| 1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
| 1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
| 1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
| 1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
| 1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
| Find all providers with the same taxonomy | ||||
| City | CORAL SPRINGS |
| Zip Code | 33065 |
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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.