Individual provider · Type 1 NPI

Gregory Russo Jr.

General Practice Dentistry · Vernon, CT

NPI number 1902025877 Active

Practice location

351 Merline Rd, Suite 301
Vernon, CT 06066-4040

Call (860) 875-5664 Map

Fax (860) 875-0520

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X8923 (CT)

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 1902025877

Gregory Russo Jr.'s National Provider Identifier is 1902025877, issued on Apr 25, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vernon, CT. The record was last updated on Jul 8, 2007.