RUSSO DENTISTRY
NPI 1346732674
Clinic/Center - Dental in Raleigh, NC

Q: What is Justin Russo Dds PA's NPI number?

The NPI number for Justin Russo Dds PA is 1346732674. It was assigned to this organization in the NPPES registry on June 1, 2018. The provider is doing business as Russo Dentistry.

Q: What is Justin Russo Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since June 01, 2018

3811 ED DR STE 120, RALEIGH, NC 27612(919) 890-5147 Get Directions Write a Review

NPPES record last updated: March 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2019, Jun 12, 2018 (2 updates tracked since 2018).

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About Russo Dentistry NPPES

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

RUSSO DENTISTRY (NPI 1346732674) is a healthcare organization registered as a dental in Raleigh, North Carolina and active in the NPI registry since June 2018. The organization lists Justin Russo, Owner, as its authorized official.

NPPES Registry Identity

NPI1346732674

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameJUSTIN RUSSO DDS PA

Location Address3811 ED DR STE 120Raleigh, NC 27612

Mailing Address3811 Ed Dr Ste 120Raleigh, NC 27612-2393 · (919) 890-5147

Phone(919) 890-5147

Organization SubpartNo

Authorized OfficialJustin RussoOwner · (919) 890-5147

Enumeration DateJune 1, 2018

Last NPPES UpdateMarch 20, 20192 updates tracked since enumeration

✔ NPI 1346732674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

3811 ED DR STE 120, Raleigh, NC 27612

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Other Names 1

Doing Business AsRusso Dentistry

Other Providers at the Same Location NPPES

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

DR. JUSTIN RUSSO D.D.S.

Dentist (General Practice)

3811 ED DR STE 120
RALEIGH, NC 27612

Wake County (919) 890-5147

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 Justin Russo Dds PA's NPI number?

The NPI number for Justin Russo Dds PA is 1346732674. It was assigned to this organization in the NPPES registry on June 1, 2018. The provider is doing business as Russo Dentistry.

Where is Justin Russo Dds PA located?

Justin Russo Dds PA is located at 3811 Ed Dr Ste 120, Raleigh, NC 27612. The listed phone number is (919) 890-5147.

What is Justin Russo Dds PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Justin Russo Dds PA was last updated on March 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.