JOHN E. RUSSO, D.M.D, P.A.
NPI 1508680497
Dentist - General Practice in Orlando, FL

Active since November 08, 2024
430 N MILLS AVE STE 3, ORLANDO, FL 32803(407) 843-2112 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John E. Russo, D.m.d, P.a. NPPES

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

JOHN E. RUSSO, D.M.D, P.A. (NPI 1508680497), doing business as John E. Russo, D.m.d. Family And Cosmetic Dentistry, is a healthcare organization registered as a general practice in Orlando, Florida and active in the NPI registry since November 2024. The organization lists Jenny Garcia Rocha, Sr Team Lead, as its authorized official.

NPPES Registry Identity

NPI1508680497
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHN E. RUSSO, D.M.D, P.A.
Location Address430 N MILLS AVE STE 3Orlando, FL 32803-5746
Mailing Address430 N Mills Ave Ste 3Orlando, FL 32803-5746 · (407) 843-2112
Organization SubpartNo
Authorized OfficialJenny Garcia RochaSr Team Lead · (972) 869-3789
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
NPI 1508680497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
430 N MILLS AVE STE 3, Orlando, FL 32803

Other Names 1

Doing Business AsJohn E. Russo, D.m.d. Family And Cosmetic Dentistry

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 SINGLE SPECIALTY GROUP

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 John E. Russo, D.M.D, P.A.'s NPI number?

The NPI number for John E. Russo, D.M.D, P.A. is 1508680497. It was assigned to this organization in the NPPES registry on November 8, 2024. The provider is doing business as John E. Russo, D.M.D. Family and Cosmetic Dentistry.

Where is John E. Russo, D.M.D, P.A. located?

John E. Russo, D.M.D, P.A. is located at 430 N Mills Ave Ste 3, Orlando, FL 32803. The listed phone number is (407) 843-2112.

What is John E. Russo, D.M.D, P.A.'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 John E. Russo, D.M.D, P.A. was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.