Individual provider · Type 1 NPI

Nicholas Vito Russo, DDS

Dentist · Brookfield, WI

NPI number 1063811297 Active

Practice location

12690 W North Ave
Brookfield, WI 53005-4636

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1000994-15 (WI)

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 requiremen…

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About NPI 1063811297

Nicholas Vito Russo, DDS's National Provider Identifier is 1063811297, issued on Aug 13, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Brookfield, WI. The record was last updated on Feb 9, 2016.