DR. MARY KATHLEEN RUSSO D.M.D
NPI 1710030234
Dentist - General Practice in Sea Girt, NJ

Active since January 19, 2007
804 HIGHWAY 71, SEA GIRT, NJ 08750(732) 449-6564(732) 449-8606 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Kathleen Russo D.m.d NPPES

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

DR. MARY KATHLEEN RUSSO D.M.D (NPI 1710030234) is an individual general practice provider in Sea Girt, New Jersey, licensed in New Jersey (22DI02293800) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710030234
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY KATHLEEN RUSSOCredential: D.M.D
Location Address804 HIGHWAY 71Sea Girt, NJ 08750-2807
Mailing Address808 Spray AveBeachwood, NJ 08722-4626 · (973) 747-5383 · Fax (732) 449-6564
Fax(732) 449-8606
Sole ProprietorNo
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 10, 2015
NPI 1710030234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · 22DI02293800
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.
804 HIGHWAY 71, Sea Girt, NJ 08750

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dentist (Orthodontics and Dentofacial Orthopedics)
804 HIGHWAY 71
SEA GIRT, NJ 08750
Dentist (General Practice)
804 HIGHWAY 71
SEA GIRT, NJ 08750
Dentist (General Practice)
804 HIGHWAY 71
SEA GIRT, NJ 08750
Dentist (General Practice)
804 HIGHWAY 71
SEA GIRT, NJ 08750
Dentist (General Practice)
804 HIGHWAY 71
SEA GIRT, NJ 08750

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 Mary Russo's NPI number?

The NPI number for Mary Russo is 1710030234. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Mary Russo located?

Mary Russo practices at 804 Highway 71, Sea Girt, NJ 08750. The listed phone number is (732) 449-6564.

What is Mary Russo's specialty?

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

What insurance does Mary Russo accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mary Russo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Russo was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.