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

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: July 19, 2026.

  • Individual
  • Male
  • Dentist
  • Accepts Insurance

About NICHOLAS RUSSO

This page provides the complete NPI Profile along with additional information for Nicholas Russo, a provider established in Brookfield, Wisconsin with a medical specialization in Dentist. The healthcare provider is registered in the NPI registry with number 1063811297 assigned on August 2014. The practitioner's primary taxonomy code is 122300000X with license number 1000994-15 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1063811297 Verify this NPI
Provider Name
DR. NICHOLAS VITO RUSSO D.D.S.
Gender
Male
Entity Type
Individual
Location Address
12690 W NORTH AVE BROOKFIELD, WI 53005
Location Phone
(262) 784-3740
Mailing Address
12690 W NORTH AVE BROOKFIELD, WI 53005
Mailing Phone
(262) 784-3740
Is Sole Proprietor?
No
Enumeration Date
08-13-2014
Last Update Date
02-09-2016
Code Navigator

A dentist like Nicholas Russo is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist

Taxonomy Code
122300000X
Type
Dental Providers
License No.
1000994-15
License State
WI
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Delta Dental Individual and Family High Plan - PPO
  • Delta Dental Individual and Family Low Plan - PPO
  • Delta Dental Individual and Family Low Plan Major - PPO
  • Delta Dental PPO Plus Premier Family Plan High Option - PPO
  • Delta Dental PPO Plus Premier Family Plan Low Option - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for DR. NICHOLAS VITO RUSSO D.D.S.

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Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Social Worker (Clinical)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Dentist (General Practice)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Social Worker (Clinical)
12690 W NORTH AVE, ELMBROOK FAMILY COUNSELING CENTER
BROOKFIELD, WI 53005
Psychiatry & Neurology (Geriatric Psychiatry)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Psychologist (Clinical)
12690 W NORTH AVE, ELMBROOK FAMILY COUNSELING CENTER
BROOKFIELD, WI 53005
Dentist (General Practice)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Psychologist (Clinical)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Counselor (Professional)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Social Worker (Clinical)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Counselor (Professional)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Dentist (General Practice)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Counselor (Professional)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Counselor (Professional)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Counselor (Mental Health)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Psychologist (Clinical)
12690 W NORTH AVE
BROOKFIELD, WI 53005
Dentist (Prosthodontics)
12690 W NORTH AVE
BROOKFIELD, WI 53005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063811297, enumerated as an "individual" on August 13, 2014.

The provider is located at 12690 W NORTH AVE BROOKFIELD, WI 53005 and the phone number is (262) 784-3740.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Delta Dental of Wisconsin, Inc.. Please consult your insurance carrier or call the provider to verify.