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PETER ANTHONY RUSSO D.D.S.
NPI 1104846849
Dentist - Periodontics in Huntington Beach, CA

Active since July 19, 2006
18800 MAIN ST, STE. 201, HUNTINGTON BEACH, CA 92648(714) 842-2515(714) 847-7075 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peter Anthony Russo D.d.s. NPPES

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

PETER ANTHONY RUSSO D.D.S. (NPI 1104846849) is an individual periodontics provider in Huntington Beach, California, licensed in California (41127) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1104846849
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NamePETER ANTHONY RUSSOCredential: D.D.S.
Location Address18800 MAIN ST, STE. 201Huntington Beach, CA 92648-1707
Mailing Address18800 Main St, Ste. 201Huntington Beach, CA 92648-1707 · (714) 842-2515 · Fax (714) 847-7075
Phone(714) 842-2515
Fax(714) 847-7075
Sole ProprietorYes
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1104846849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 41127
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
18800 MAIN ST, Huntington Beach, CA 92648
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Other Providers at the Same Location NPPES 20

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

DR. DEIRDRE ALLISON HABERMEHL M.D.
Psychiatry & Neurology (Addiction Medicine)
18800 MAIN ST, STE 204
HUNTINGTON BEACH, CA 92648
Orange County (949) 548-6376
DR. RICK J. BERRIOS D.D.S.
Dentist (Oral and Maxillofacial Pathology)
18800 MAIN ST, 205
HUNTINGTON BEACH, CA 92648
Orange County (714) 841-4954
DR. SHENG-JIA CYNTHIA HUANG D.D.S., M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
18800 MAIN ST, SUITE 210
HUNTINGTON BEACH, CA 92648
Orange County (714) 847-0808
RODERICK J. BAZIL D.C.
Chiropractor
18800 MAIN ST, SUITE # 207
HUNTINGTON BEACH, CA 92648
Orange County (714) 375-5864
ERIC TRAVIS DPM
Podiatrist
18800 MAIN ST, SUITE 104
HUNTINGTON BEACH, CA 92648
Orange County (714) 841-1963
MAJED CHANE M.D.
Internal Medicine (Interventional Cardiology)
18800 MAIN ST, SUITE 103
HUNTINGTON BEACH, CA 92648
Orange County (714) 842-8100
PETER A. RUSSO, DDS, INC.
Dentist (Periodontics)
18800 MAIN ST, SUITE 201
HUNTINGTON BEACH, CA 92648
Orange County (714) 842-2515
AYOUB DENTAL CORPORATION
Preferred Provider Organization
18800 MAIN ST, 203
HUNTINGTON BEACH, CA 92648
Orange County (714) 848-2277

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 Peter Russo's NPI number?

The NPI number for Peter Russo is 1104846849. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Peter Russo located?

Peter Russo practices at 18800 Main St Ste. 201, Huntington Beach, CA 92648. The listed phone number is (714) 842-2515.

What is Peter Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Peter Russo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.