Individual provider · Type 1 NPI
Angela Michelle Illuzzi-Russo, DDS
Oral and Maxillofacial Surgery (Dentist) · Portland, ME
NPI number
1811041726
Active
Practice location
190 Park Ave
Portland, ME 04102-1000
Mailing address
10 Lone Pine Ln
Yarmouth, ME 04096-6119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 052809 (NY) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02347100 (NJ) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DEN4836 (ME) |
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.
14 other providers at this address
- Community DentalDentist Portland, ME NPI 1467528851
- Bart Kendall Morrison, DMDStudent in an Organized Health Care Education/Training Program Portland, ME NPI 1184541476
- Christina Rizk, DMDStudent in an Organized Health Care Education/Training Program Portland, ME NPI 1083272173
- Darren Smith, DMDDentist Portland, ME NPI 1912437435
- Eleanor Clare Kelly Sarle, DDSGeneral Practice Dentistry Portland, ME NPI 1891620373
- Franchesca Rolshud, DMDDentist Portland, ME NPI 1013401587
- Gregory D. Frost, DMDGeneral Practice Dentistry Portland, ME NPI 1649723636
- Julia Clapis, DMDGeneral Practice Dentistry Portland, ME NPI 1326935917
- Julissa Magdaly Guerra Percolla, DDSGeneral Practice Dentistry Portland, ME NPI 1457704207
- Lauren Ashely Gallant, DMDGeneral Practice Dentistry Portland, ME NPI 1982134532
- Mattie Paradise, DDSDentist Portland, ME NPI 1508350307
- Monica Elaine Anderson, DDSGeneral Practice Dentistry Portland, ME NPI 1851022669
Other oral and maxillofacial surgery (dentist) providers in Portland
- Gregory V. Sarka, DDS, MDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1043200868
- Meaghan Bradley, DMDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1225533359
- Kristopher Cooper, DMD, MDOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1265814784
- Robert WalshOral and Maxillofacial Surgery (Dentist) Portland, ME NPI 1346745106
About NPI 1811041726
Angela Michelle Illuzzi-Russo, DDS's National Provider Identifier is 1811041726, issued on Jan 22, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Portland, ME. The record was last updated on Feb 4, 2021.