DR. EDWARD RUSSO JR.


Address: 5665 Fieldcrest Dr, Scottsville, VA 24590-3886
Phone: 4342863082

DR. EDWARD RUSSO JR. (NPI# 1639197122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639197122
Entity Type Individual
Full Name DR. EDWARD RUSSO JR.
Credential DDS
Practice Address 5665 Fieldcrest Dr
Scottsville
VA 24590-3886
Mailing Address 5665 Fieldcrest Dr
Ic
Scottsville
VA 24590-3886
Practice Telephone 4342863082
Practice Fax Number 4342863082
Mailing Telephone 4342863082
Enumeration Date 2006-07-17
Last Update Date 2017-02-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 0401005184 VA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 008451192 05

Other Providers EDWARD RUSSO

NPI Name Taxonomy Address Enumeration
1003954215 Edward Nicholas Russo Dentist 2171 Jericho Turnpike, Suite # 145, Commack, NY 11725 2007-02-01

Office Location

Street Address 5665 FIELDCREST DR
City SCOTTSVILLE
State VA
Zip Code 24590-3886

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356842983 Cherri Hartzog Speech-Language Pathologist Scottsville Elementary, 7868 Scottsville Rd, Scottsville, VA 24590 2018-02-28
1891900031 Richard Henry Baier Dentist 531 Valley Street, Scottsville, VA 24590 2007-05-11
1437219292 Richard Alvis Joyce Family Medicine 295 East Main St., Scottsville, VA 24590 2006-12-11
1356369532 Bruce's Drug Store, Inc Pharmacist 295 B East Main Street, Suite B, Scottsville, VA 24590-0278 2006-07-17
1629534482 Lydia Quinn Marshall Occupational Therapist 4132 Presidents Rd, Scottsville, VA 24590-3105 2019-02-18
1952480139 Martin D Katz Family Medicine 190 James River Rd, Scottsville, VA 24590-3812 2006-11-06
1629399977 Revolution Health Center Plc Internal Medicine 190 James River Rd, Scottsville, VA 24590-3812 2010-06-21
1811961220 Craig P Campanelli Internal Medicine 9358 Warren Hill Ln, Scottsville, VA 24590-4019 2006-02-14
1326342684 Julie Kay Bannan Adult Companion 3782 Presidents Rd, Scottsville, VA 24590-4203 2010-12-30
1609394790 Elizabeth Morton Hart Registered Nurse 3788 Rolling Rd, Scottsville, VA 24590-4229 2017-09-08
Find all providers in zip 24590

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912347808 Johnson Dental Associates, Plls Dentist 199 W Main St, Scottsville, KY 42164-1120 2013-06-25
1770928616 Frank L Duncan Dentist 106 E Public Sq, Scottsville, KY 42164-1439 2013-05-06
1427292531 Hilltop Family Dental Care, Psc Dentist 1046 Veterans Memorial Highway, Scottsville, KY 42164 2009-04-21
1083763734 James Mark Huntsman Dentist 199 W Main St, Scottsville, KY 42164-1120 2007-01-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710588488 Nishchal Mukesh Dalal Dentist 2003 Woodbrook Ct, Charlottesville, VA 22901-1148 2020-11-08
1679173140 Obada Itemaad Salem Dentist 15124 Majestic Creek Dr, South Chesterfield, VA 23834-6828 2020-10-26
1205434628 Helina Mesfun Dentist 6512 Greenview Ln, Springfield, VA 22152-2918 2020-10-16
1952909731 Kimia Khoshroo Dentist 1444 Kempsville Rd Ste 101, Virginia Beach, VA 23464-7302 2020-10-13
1588262653 Jeanne Spence Dentist 11846 Jefferson Davis Hwy, Chester, VA 23831 2020-10-12
1184221616 American Dental Pllc Dentist 4601 Pinecrest Office Park Dr Ste D, Alexandria, VA 22312-1442 2020-10-07
1013523380 Nour Hussam Tellawi Dentist 5911 Edsall Rd Apt 306, Alexandria, VA 22304-4112 2020-09-21
1760097737 Jamiah Dawson, Dds, P.C. Dentist 12731 Jefferson Ave, Newport News, VA 23602-4317 2020-09-15
1477165561 Amina Mekic Dentist 14337 Newbrook Dr, Chantilly, VA 20151-4258 2020-08-19
1942811906 Christine Baek Mcandrew Dentist 1950 Roland Clarke Pl Ste 420, Reston, VA 20191-1414 2020-08-13
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Competitor

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City SCOTTSVILLE
Zip Code 24590

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Dataset Information

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.

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