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PETER A. RUSSO, DDS, INC.
NPI 1194250019
Dentist - Periodontics in Huntington Beach, CA

Active since April 28, 2017
18800 MAIN ST, SUITE 201, HUNTINGTON BEACH, CA 92648(714) 842-2515(714) 847-7075 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter A. Russo, Dds, Inc. NPPES

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

PETER A. RUSSO, DDS, INC. (NPI 1194250019) is a healthcare organization registered as a periodontics in Huntington Beach, California and active in the NPI registry since April 2017. The organization lists Peter Russo, Owner, as its authorized official.

NPPES Registry Identity

NPI1194250019
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePETER A. RUSSO, DDS, INC.
Location Address18800 MAIN ST, SUITE 201Huntington Beach, CA 92648-1707
Mailing Address18800 Main St, Suite 201Huntington Beach, CA 92648-1707 · (714) 842-2515 · Fax (714) 847-7075
Phone(714) 842-2515
Fax(714) 847-7075
Organization SubpartNo
Authorized OfficialPeter RussoOwner · (714) 842-2515
Enumeration DateApril 28, 2017
✔ NPI 1194250019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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
PETER ANTHONY RUSSO D.D.S.
Dentist (Periodontics)
18800 MAIN ST, STE. 201
HUNTINGTON BEACH, CA 92648
Orange County (714) 842-2515
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
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 A. Russo, Dds, Inc.'s NPI number?

The NPI number for Peter A. Russo, Dds, Inc. is 1194250019. It was assigned to this organization in the NPPES registry on April 28, 2017.

Where is Peter A. Russo, Dds, Inc. located?

Peter A. Russo, Dds, Inc. is located at 18800 Main St Suite 201, Huntington Beach, CA 92648. The listed phone number is (714) 842-2515.

What is Peter A. Russo, Dds, Inc.'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 A. Russo, Dds, Inc. was last updated on April 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.