Peter Anthony Russo, D.D.S.
Dentist, Periodontics in Huntington Beach, CA. Individual provider (NPI-1).
NPI number1104846849
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104846849
- Entity type
- Individual (NPI-1)
- Name
- Peter Anthony Russo
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 41127 | CA | Yes |
Practice location
18800 Main StSte. 201
Huntington Beach, CA 92648-1707
Phone 714-842-2515 · Fax 714-847-7075
Mailing address
18800 Main StSte. 201
Huntington Beach, CA 92648-1707
Phone 714-842-2515 · Fax 714-847-7075
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Periodontics providers in Huntington Beach, CA
- Thomas Steven Adamich, DDSNPI 1063579670
- Justin Michael Braga, D.D.S.NPI 1851525018
- Frederic Thomas Hite, D.D.S.NPI 1568531465
- Peter A. Russo, DDS, INC.NPI 1194250019
- Rudolph S Gamarnik & Scott D ChristensenNPI 1083133201
- Iyad A Sood, D.M.D.NPI 1447370184
All 7 Periodontics providers in Huntington Beach · All 5,320 providers in Huntington Beach
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.