Individual provider · Type 1 NPI

Malana Russo, DMD

Dentist · Fort Sam Houston, TX

NPI number 1649016775 Active

Practice location

3145 Garden Ave Ste 1278
Fort Sam Houston, TX 78234-7719

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN29222 (FL)

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 1649016775

Malana Russo, DMD's National Provider Identifier is 1649016775, issued on Jul 8, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Mar 13, 2026.