John Russo, D.M.D.
Endodontics · Middletown, CT
UnclaimedD.M.D.NPI 1053334086
- Primary taxonomy
- 1223E0200X
- Enumerated
- 2006-07-25
- Practice location
- Middletown, CT
- Last NPPES update
- 2007-07-08
State licenses
- CT · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.