JUSTIN M RUSSO DDS PLLC (NPI# 1457844524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457844524 |
| Entity Type | Organization |
| Organization Name | JUSTIN M RUSSO DDS PLLC |
| Practice Address |
13220 Strickland Rd Ste 166 Raleigh NC 27613-5213 |
| Mailing Address |
3811 Ed Dr Ste 120 Raleigh NC 27612-2393 |
| Practice Telephone | 9198905147 |
| Mailing Telephone | 9198905147 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2019-03-20 |
| Authorized Official Name | JUSTIN RUSSO (OWNER) |
| Authorized Official Telephone | 9198905147 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
13220 STRICKLAND RD STE 166 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27613-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376072165 | Caitlin Ann Singleton | Dentist | 13220 Strickland Rd Ste 166, Raleigh, NC 27613 | 2017-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588124358 | Arend Klooster Dds II, Pllc | Dentist | 3721 Lynn Rd. #120, Raleigh, NC 27613 | 2019-03-20 |
| 1205319647 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 9640 Leesville Rd, Raleigh, NC 27613 | 2018-09-12 |
| 1386137735 | Maitlyn Avery Betts | Specialist/Technologist | 8421 Two Courts Drive, Raleigh, NC 27613 | 2018-06-11 |
| 1811492382 | Malek & Knight Dds Pa-iil | Dentist | 9201 Leesville Rd Ste 101, Raleigh, NC 27613 | 2018-03-27 |
| 1285151860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 13300 Stickland Rd, Raleigh, NC 27613 | 2017-08-24 |
| 1508246547 | Jonathan Kent Weisner | Dentist | 13271 Strickland Rd, Raleigh, NC 27613 | 2015-06-04 |
| 1245620806 | Kimberly Szwed | Nurse Practitioner | 6422 Rosny Road, Raleigh, NC 27613 | 2015-02-03 |
| 1174957831 | Laurin Ballowe Collier | Pharmacist | 9640 Leesville Road, Raleigh, NC 27613 | 2013-08-29 |
| 1952655144 | Phillip Colby Smith | Marriage & Family Therapist | 6921 Springcreek Cv Apt 22, Raleigh, NC 27613 | 2012-11-09 |
| 1114273703 | Scott R Michaels | Marriage & Family Therapist | 3170 Exacta Ln Apt 516, Raleigh, NC 27613 | 2012-08-01 |
| Find all providers in zip 27613 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243808 | Maja V Martin Dds Pa II | Clinic/Center | 4203 Corners Pkwy, Ste 100, Raleigh, NC 27617 | 2020-07-29 |
| 1811514185 | Craig M. Mize Dds, Pa | Clinic/Center | 8300 Falls of Neuse Rd Ste 114, Raleigh, NC 27615-3450 | 2020-07-02 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1760038830 | Narender S Dudee Dds Pllc | Clinic/Center | 10010 Falls of Neuse Rd Ste 207, Raleigh, NC 27614-8496 | 2019-08-14 |
| 1265097554 | Jessica G. Mcconnell, Dds, Pllc | Clinic/Center | 107 Windel Dr Ste 101, Raleigh, NC 27609-4471 | 2019-05-02 |
| 1396213674 | Urvi Ravindran Dds Pllc | Clinic/Center | 6816 Whispering Falls Run Apt 13, Raleigh, NC 27613-2233 | 2018-11-05 |
| 1649754672 | Dongmin Lee, Dds, Pllc | Clinic/Center | 8351 Standonshire Way Ste 121, Raleigh, NC 27615-2760 | 2018-09-15 |
| 1851896104 | L. Brett Wells Dds II, Pllc | Clinic/Center | 13271 Strickland Rd Ste 110, Raleigh, NC 27613-5246 | 2018-03-28 |
| 1326541962 | Timothy Thomas Dds Pa | Clinic/Center | 7510 Ramble Way Ste 101, Raleigh, NC 27616-4306 | 2018-03-09 |
| 1811409493 | Hunter Piermont Dds & Associates Pa | Clinic/Center | 4558 Capital Blvd, Raleigh, NC 27604-4537 | 2017-11-03 |
| Find all providers in RALEIGH | ||||
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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.