Individual provider · Type 1 NPI

Michael Russo

Dentist · Roseland, NJ

NPI number 1932594801 Active

Practice location

175 Eagle Rock Ave
Roseland, NJ 07068-1321

Call (973) 226-1973 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X22DI02639100 (NJ)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1932594801

Michael Russo's National Provider Identifier is 1932594801, issued on Mar 30, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Roseland, NJ. The record was last updated on Jan 22, 2019.