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DR. NICOLAS HENRY RUSSO DMD
NPI 1205812765
Dentist - Prosthodontics in Beaufort, SC

Active since December 16, 2005
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, BEAUFORT, SC 29902(843) 228-5577(843) 228-5196 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicolas Henry Russo Dmd NPPES

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

DR. NICOLAS HENRY RUSSO DMD (NPI 1205812765) is an individual prosthodontics provider in Beaufort, South Carolina, licensed in New York (039175) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1205812765
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. NICOLAS HENRY RUSSOCredential: DMD
Location Address1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORTBeaufort, SC 29902-6122
Mailing Address1 Pinckney Blvd, Naval Hospital BeaufortBeaufort, SC 29902-6122 · (843) 228-5577 · Fax (843) 228-5196
Phone(843) 228-5577
Fax(843) 228-5196
Sole ProprietorNo
Enumeration DateDecember 16, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205812765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NY · 039175
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1 PINCKNEY BLVD, Beaufort, SC 29902
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Other Identifiers 1

Medicare UPIN000OTH

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.

SUSAN HEIM
Specialist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5232
JESSIE C SANTIAGO JR. PA C
Physician Assistant (Medical)
1 PINCKNEY BLVD, ATTN PROFESSIONAL AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JEREMY ROBERT GIES D.M.D.
Dentist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-3500
RAYMOND CROSS PT DPT
Physical Therapist
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-1318
MICHAEL JAMES DAVIDSON RN
Nurse Anesthetist, Certified Registered
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5994
DOUGLAS ROGER GILLETT DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT, ATTN:PROF AFFAIRS COORDINATOR
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
KURT JOHN BREILING DDS
Dentist
1 PINCKNEY BLVD, NAVAL HOSPITAL BEAUFORT ATTN PROFESSIONAL AFFAIRS COORD
BEAUFORT, SC 29902
Beaufort County (843) 228-5577
DR. JOHN SCOTT DONOUGHE DO
Orthopaedic Surgery
1 PINCKNEY BLVD
BEAUFORT, SC 29902
Beaufort County (843) 228-5455

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 Nicolas Russo's NPI number?

The NPI number for Nicolas Russo is 1205812765. It was assigned to this individual provider in the NPPES registry on December 16, 2005.

Where is Nicolas Russo located?

Nicolas Russo practices at 1 Pinckney Blvd Naval Hospital Beaufort, Beaufort, SC 29902. The listed phone number is (843) 228-5577.

What is Nicolas Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Nicolas 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.