Individual provider · Type 1 NPI

Camille Joseph Russo Iii, DDS

General Practice Dentistry · Gonzales, LA

NPI number 1881628501 Active

Practice location

1504 E Highway 30
Gonzales, LA 70737-4766

Call (225) 644-5311 Map

Fax (225) 644-5312

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X3467 (LA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1881628501

Camille Joseph Russo Iii, DDS's National Provider Identifier is 1881628501, issued on Jul 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gonzales, LA. The record was last updated on Jul 8, 2007.