DR. JOHN E RUSSO (NPI# 1679538367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679538367 |
| Entity Type | Individual |
| Full Name | DR. JOHN E RUSSO |
| Credential | DMD |
| Practice Address |
430 N Mills Ave Orlando FL 32803-5746 |
| Practice Telephone | 4078432112 |
| Practice Fax Number | 4078431702 |
| Mailing Telephone | 4078432112 |
| Mailing Fax Number | 4078431702 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN0013542 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1558708156 | John P Russo | Internal Medicine | 5665 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-1701 | 2013-05-23 |
| 1174646426 | John Walter Russo | Social Worker | 70 W 11th St, Suite 1e, New York City, NY 10011 | 2007-04-09 |
| 1023131513 | John Joseph Russo | Dentist | 1101 El Camino Real, San Bruno, CA 94066-2405 | 2007-04-09 |
| 1346376415 | John Anthony Russo | Internal Medicine | 1500 Pleasant Valley Way Ste 201, West Orange, NJ 07052-2956 | 2007-02-25 |
| 1538276969 | John Russo | Dentist | 1704 Bay Rd, Sarasota, FL 34239-6810 | 2006-08-23 |
| 1114983442 | John J Russo | Optometrist | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 | 2006-04-25 |
| 1467858407 | John Russo | Physical Therapist | 4 E South St, Geneseo, NY 14454-1445 | 2014-11-18 |
| 1386926384 | John Christopher Russo | Pharmacist | 5285 Us Highway 1, Vero Beach, FL 32967-7601 | 2011-09-15 |
| 1871729897 | John N Russo | Dentist | 300 Foulk Rd, Wilmington, DE 19803-3886 | 2009-06-04 |
| Street Address |
430 N MILLS AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-5746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558746842 | Andrew Watson | Counselor | 430 N Mills Ave, Suite 4, Orlando, FL 32803 | 2015-07-28 |
| 1437209095 | Glenn L Paulk | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2007-01-12 |
| 1770631137 | Charles Richard Glosson | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2007-01-08 |
| 1609805357 | Derek Alan Slosser | Dentist | 430 N Mills Ave, Suite 2, Orlando, FL 32803-5746 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332013 | Dentists of Nona, Pa | Dentist | 14019 Narcoossee Rd Ste 135, Orlando, FL 32832-7162 | 2020-10-05 |
| 1720690886 | Ideal Dental of University Pointe | Dentist | 11871 University Blvd, Suite 110, Orlando, FL 32817 | 2020-08-20 |
| 1821609454 | Ideal Dental of Lake Nona | Dentist | 12851 Narcoossee Rd Ste 400, Orlando, FL 32832-7155 | 2020-08-17 |
| 1063023703 | Muhammad Sheryar Khan | Dentist | 11712 Savona Way, Orlando, FL 32827-7243 | 2020-08-16 |
| 1306464805 | Orlando Implants Center Pa | Dentist | 300 Gatlin Ave Ste 1-b, Orlando, FL 32806-6951 | 2020-07-10 |
| 1720601628 | Amber Lynn Medellin | Dentist | 7861 Jubilee Park Blvd Apt 2412, Orlando, FL 32822-5258 | 2020-05-26 |
| 1134741960 | Karoline Anne Biami | Dentist | 1444 Alden Rd Apt 502, Orlando, FL 32803-1973 | 2020-05-14 |
| 1568083020 | Ricardo J Cermeno Sr. | Dentist | 6509 Conroy Rd Apt 114, Orlando, FL 32835-3501 | 2020-05-06 |
| 1871149120 | Damien Phillips Blanco | Dentist | 6784 Eagle Watch Dr Ste 550, Orlando, FL 32822-2355 | 2019-08-13 |
| 1144872029 | My Forever Smiles LLC | Dentist | 7208 W Sand Lake Rd Ste 104, Orlando, FL 32819-5277 | 2019-07-11 |
| Find all providers in ORLANDO | ||||
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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.