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DR. JACQUELINE RUSSO DDS
NPI 1225558604
Dentist - General Practice in Boynton Beach, FL

Active since June 26, 2017
11676 DUNES RD, BOYNTON BEACH, FL 33436(561) 212-9405 Get Directions Write a Review

NPPES record last updated: June 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacqueline Russo Dds NPPES

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

DR. JACQUELINE RUSSO DDS (NPI 1225558604) is an individual general practice provider in Boynton Beach, Florida, licensed in Florida (DN12954) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1225558604
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACQUELINE RUSSOCredential: DDS
Location Address11676 DUNES RDBoynton Beach, FL 33436-5503
Mailing Address11676 Dunes RdBoynton Beach, FL 33436-5503
Phone(561) 212-9405
Sole ProprietorYes
Enumeration DateJune 26, 2017
✔ NPI 1225558604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN12954
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11676 DUNES RD, Boynton Beach, FL 33436
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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 Jacqueline Russo's NPI number?

The NPI number for Jacqueline Russo is 1225558604. It was assigned to this individual provider in the NPPES registry on June 26, 2017.

Where is Jacqueline Russo located?

Jacqueline Russo practices at 11676 Dunes Rd, Boynton Beach, FL 33436. The listed phone number is (561) 212-9405.

What is Jacqueline Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacqueline Russo was last updated on June 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.