Individual provider · Type 1 NPI

Charles D. Russo, DMD

Oral and Maxillofacial Surgery (Dentist) · Coral Springs, FL

NPI number 1295803443 Active

Practice location

2801 N University Dr, Suite 102
Coral Springs, FL 33065-5057

Call (954) 752-1045 Map

Fax (954) 344-9651

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN008338 (FL)

Oral and Maxillofacial Surgery (Dentist): 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.

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About NPI 1295803443

Charles D. Russo, DMD's National Provider Identifier is 1295803443, issued on Dec 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Coral Springs, FL. The record was last updated on Jul 8, 2007.