Angela M. Illuzzi-Russo, DDS
Oral & Maxillofacial Surgery · Portland, ME
UnclaimedDDSNPI 1811041726
- Primary taxonomy
- 1223S0112X
- Enumerated
- 2007-01-22
- Practice location
- Portland, ME
- Last NPPES update
- 2021-02-04
State licenses
- ME · Dentist · NPPES self-reportedListed on NPI record
- NJ · Dentist · NPPES self-reportedListed on NPI record
- NY · 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.