DR. NICHOLAS VITO RUSSO D.D.S.
NPI 1063811297
Dentist in Brookfield, WI

Q: What is Nicholas Russo's NPI number?

The NPI number for Nicholas Russo is 1063811297. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Q: What is Nicholas Russo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Russo was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2014

12690 W NORTH AVE, BROOKFIELD, WI 53005(262) 784-3740 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Nicholas Vito Russo D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS VITO RUSSO D.D.S. (NPI 1063811297) is an individual dentist in Brookfield, Wisconsin, licensed in Wisconsin (1000994-15) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1063811297

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. NICHOLAS VITO RUSSOCredential: D.D.S.

Location Address12690 W NORTH AVEBrookfield, WI 53005-4636

Mailing Address12690 W North AveBrookfield, WI 53005-4636 · (262) 784-3740

Phone(262) 784-3740

Sole ProprietorNo

Enumeration DateAugust 13, 2014

Last NPPES UpdateFebruary 9, 2016

✔ NPI 1063811297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 1000994-15

Definition

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.

12690 W NORTH AVE, Brookfield, WI 53005

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc..Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH W BARITT MA, LPC

Counselor (Professional)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 785-0644

ROBERT G. SAUR, D.D.S., S.C.

Dentist (Prosthodontics)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 785-1499

DR. CHRISTOPHER C CONLON D.D.S.

Dentist (General Practice)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 784-3740

MRS. GERMAINE MARIE KOHL MED LCSW LPC

Social Worker (Clinical)

12690 W NORTH AVE, ELMBROOK FAMILY COUNSELING CENTER
BROOKFIELD, WI 53005

Waukesha County (262) 785-9188

DR. NANCY WATTS JONES PSYD

Psychologist (Clinical)

12690 W NORTH AVE, ELMBROOK FAMILY COUNSELING CENTER
BROOKFIELD, WI 53005

Waukesha County (262) 785-9188

MRS. TANYA L GERHARD LCSW

Social Worker (Clinical)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 785-1008

MARIA BYRD LPC, ATR

Counselor (Professional)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 785-9188

MARY SHEILA BRIGGS MSW, APSW

Social Worker (Clinical)

12690 W NORTH AVE
BROOKFIELD, WI 53005

Waukesha County (262) 785-1008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Russo's NPI number?

The NPI number for Nicholas Russo is 1063811297. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Nicholas Russo located?

Nicholas Russo practices at 12690 W North Ave, Brookfield, WI 53005. The listed phone number is (262) 784-3740.

What is Nicholas Russo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Nicholas Russo accept?

Health plans from Delta Dental of Wisconsin, Inc. list Nicholas Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Russo was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.