DR. ANTONINO RUSSO DDS
NPI 1497860837
Dentist - Orthodontics and Dentofacial Orthopedics in Port Jefferson Station, NY

Active since August 19, 2006
5225 NESCONSET HWY, SUITE 3, PORT JEFFERSON STATION, NY 11776(631) 473-6661(631) 473-6967 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Antonino Russo Dds NPPES

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

DR. ANTONINO RUSSO DDS (NPI 1497860837) is an individual orthodontics and dentofacial orthopedics provider in Port Jefferson Station, New York, licensed in New York (38381) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1497860837
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ANTONINO RUSSOCredential: DDS
Location Address5225 NESCONSET HWY, SUITE 3Port Jefferson Station, NY 11776-2053
Mailing Address5225 Nesconset Hwy, Suite 3Port Jefferson Station, NY 11776-2053 · (631) 473-6661 · Fax (631) 473-6967
Fax(631) 473-6967
Sole ProprietorYes
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1497860837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 38381
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
5225 NESCONSET HWY, Port Jefferson Station, NY 11776

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.

Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 30
PORT JEFF STA, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 41-42
PORT JEFFERSON STATION, NY 11776
Physical Therapist
5225 NESCONSET HWY, BUILDING 6 SUITE 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, 30
PORT JEFFERSON STATION, NY 11776
Occupational Therapist
5225 NESCONSET HWY, SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC
PORT JEFFERSON, NY 11776
Specialist
5225 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776
Pediatrics
5225 NESCONSET HWY, SUITE 35
PORT JEFFERSON STATION, NY 11776

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 Antonino Russo's NPI number?

The NPI number for Antonino Russo is 1497860837. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Antonino Russo located?

Antonino Russo practices at 5225 Nesconset Hwy Suite 3, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-6661.

What is Antonino Russo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Antonino 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.