Individual provider · Type 1 NPI

Robert Anthony Russo, DMD

General Practice Dentistry · Gloucester, MA

NPI number 1891720066 Active

About NPI 1891720066

Robert Anthony Russo, DMD's National Provider Identifier is 1891720066, issued on Jul 12, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Gloucester, MA. The record was last updated on Jul 8, 2007.