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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0401005184 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 008451192 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003954215 | Edward Nicholas Russo | Dentist | 2171 Jericho Turnpike, Suite # 145, Commack, NY 11725 | 2007-02-01 |
| Street Address |
5665 FIELDCREST DR |
| City | SCOTTSVILLE |
| State | VA |
| Zip Code | 24590-3886 |
| 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 Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 24590 |
Please comment or provide details below to improve the information on DR. EDWARD RUSSO JR..
| 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.