Individual provider · Type 1 NPI
Stephen P. Russo, DMD
Periodontics · Chicago, IL
NPI number
1699809202
Active
Practice location
25 E. Washington St, Suite 1125
Chicago, IL 60602
Fax (312) 641-6621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 019-026457 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2 other providers at this address
Other periodontics providers in Chicago
- James Edward Beard, DMD, MSPeriodontics Chicago, IL NPI 1063518918
- Mohammad Waseem Hussein Jamaleddin, DDS, MSPeriodontics Chicago, IL NPI 1083224257
- Wei Ting Ho, DDS, MSPeriodontics Chicago, IL NPI 1114211653
- Polina Georgievna GubarevaPeriodontics Chicago, IL NPI 1154062354
- Donna Marie Barber, DDSPeriodontics Chicago, IL NPI 1154421030
- Rauf A. Yousuf, DMD, M.S.D.Periodontics Chicago, IL NPI 1164544276
- Charles Harrell Goodman, DDS MSPeriodontics Chicago, IL NPI 1164547105
- Erez Nosrati, DMD, MSD, MSCPeriodontics Chicago, IL NPI 1225319981
About NPI 1699809202
Stephen P. Russo, DMD's National Provider Identifier is 1699809202, issued on Mar 15, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Mar 31, 2014.