PETER J RUSSO (NPI# 1053485672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053485672 |
| Entity Type | Individual |
| Full Name | PETER J RUSSO |
| Credential | DMD |
| Practice Address |
567 Southbridge Auburn MA 01520 |
| Mailing Address |
63 Woodbury Ave Hyannis MA 02061 |
| Practice Telephone | 5088323317 |
| Practice Fax Number | 5088325374 |
| Mailing Telephone | 6176994862 |
| Mailing Fax Number | 5088325374 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 19637 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568598076 | Peter David Russo | Dentist | 53 Montowese St, Branford, CT 06405 | 2007-02-26 |
| 1679528350 | Peter Martin Russo | Emergency Medicine | 1611 Feather River Blvd, Suite #10, Oroville, CA 95965 | 2006-05-23 |
| 1720627037 | Peter Russo | Physician Assistant | 120 Ochsner Blvd, Gretna, LA 70056-5255 | 2020-01-03 |
| 1588729941 | Peter Joseph Russo | Physician Assistant | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2006-12-26 |
| 1356431456 | Peter John Russo | Physician Assistant | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2006-10-13 |
| 1104846849 | Peter Anthony Russo | Dentist | 18800 Main St, Ste. 201, Huntington Beach, CA 92648-1707 | 2006-07-19 |
| 1790759694 | Peter Anthony Russo | Optometrist | 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | 2006-02-15 |
| 1063496529 | Peter Louis Russo | Pharmacist | 5507 Glenwood Rd, Brooklyn, NY 11234-1113 | 2005-11-30 |
| Street Address |
567 SOUTHBRIDGE |
| City | AUBURN |
| State | MA |
| Zip Code | 01520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740607365 | Erin E Burns | Audiologist | 52 Boyden Rd Suite 204, Hearing and Balance Centers of New England, Holden, MA 01520 | 2014-03-20 |
| 1497009476 | Kristen R Crossen | Social Worker | 49 Cedar Road, Holden, MA 01520 | 2012-10-30 |
| 1962784629 | John J. Giordano Dmd LLC | Dentist | 336 Quinapoxet Street, Holden, MA 01520 | 2011-09-19 |
| 1609925254 | Heidi Berube | Internal Medicine | Holden Christian Academy, C-o Heide Berub, M.d. 279 Reservoir St., Holden, MA 01520 | 2007-01-10 |
| 1306911623 | Barbara Milazzo Coveney | Social Worker | Charis Lighthouse Counseling, 61 Boyden Road, Holden, MA 01520 | 2006-11-21 |
| 1154495364 | Thomas J Allen Jr. | Dentist | 1010 Main Street, Suite 6, Holden, MA 01520 | 2006-11-20 |
| 1245303411 | Audiologic Hearing Services Inc | Audiologist | 52 Boyden Road, Suite 204, Holden, MA 01520 | 2006-11-16 |
| 1710066774 | Wachusett Family Practice Associates | Family Medicine | 52 Boyden Rd Suite 209, Holden, MA 01520 | 2006-11-02 |
| 1104929595 | Edward J Michalowski | Dentist | 1072 Main Street, Holden, MA 01520 | 2006-09-07 |
| 1073529319 | Leonard A Waice | Family Medicine | Wachusett Family Practice, 52 Boyden Road, Ste 209, Holden, MA 01520 | 2006-07-31 |
| Find all providers in zip 01520 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | 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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
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|---|---|---|---|---|
| 1679127922 | Washington Dental Corporation, PC | Dentist | 7084 Lakeland Hills Way, Suite 104, Auburn, WA 98092 | 2019-07-25 |
| 1215427943 | S.y.y Jang Dds Corp | Dentist | 500 Auburn Folsom Rd Ste 330c, Auburn, CA 95603-5645 | 2018-05-17 |
| 1487189528 | Washburn Family Dental Care, Inc | Dentist | 2164 Moores Mill Rd, Auburn, AL 36830-8447 | 2017-04-26 |
| 1861949638 | Linh K Nguyen Dds Pllc | Dentist | 1002 Harvey Rd Ne, Auburn, WA 98002-4220 | 2016-09-08 |
| 1154878486 | Singh Im Pllc | Dentist | 1030 Outlet Collection Way Sw, Auburn, WA 98001-6537 | 2016-09-02 |
| 1174973515 | Calvin Kenley | Dentist | 26 Cross St Unit 5, Auburn, ME 04210-6131 | 2016-06-16 |
| 1376904516 | Elizabeth Hersey | Dentist | 1578 Clark Street Rd, Suite 1, Auburn, NY 13021-9543 | 2016-03-16 |
| 1649644667 | Central Ma Orthodontic Associates, P.C. | Dentist | 325 Southbridge St, Auburn, MA 01501-2595 | 2015-11-16 |
| 1871963090 | Jonathan William Ruminson | Dentist | 11209 Redhawk Ct, Auburn, CA 95602-7616 | 2015-09-30 |
| 1679943120 | Nikhat Dental PC | Dentist | 78 E Genesee St, Auburn, NY 13021-4290 | 2015-09-27 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.