Individual provider · Type 1 NPI
Toni Lynn Russo, D.M.D
Pediatric Dentistry · Enfield, CT
NPI number
1457565707
Active
Practice location
233 Hazard Ave
Enfield, CT 06082-4647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 10105 (CT) |
| Pediatric Dentistry | 1223P0221X | DN1855254 (MA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Enfield
About NPI 1457565707
Toni Lynn Russo, D.M.D's National Provider Identifier is 1457565707, issued on May 9, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Enfield, CT. The record was last updated on May 4, 2017.