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DR. JONATHAN P RUSSO DDS
NPI 1780472308
Dentist in Omaha, NE

Active since April 25, 2025
11110 FORT ST STE 106, OMAHA, NE 68164(402) 492-8300 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jonathan P Russo Dds NPPES

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

DR. JONATHAN P RUSSO DDS (NPI 1780472308) is an individual dentist in Omaha, Nebraska, licensed in Nebraska (8115) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1780472308
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JONATHAN P RUSSOCredential: DDS
Location Address11110 FORT ST STE 106Omaha, NE 68164-2183
Mailing Address406 Maymont DrCramerton, NC 28032-1611 · (704) 840-6342
Phone(402) 492-8300
Sole ProprietorYes
Enumeration DateApril 25, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1780472308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NE · 8115
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
11110 FORT ST STE 106, Omaha, NE 68164
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Nebraska and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

DR. JESSICA FRANCES SUAREZ DDS
Dentist
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300
NOLAND WILLIAM BROEKEMIER DDS
Dentist
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300
DR. MICHAEL HUU NGUYEN DDS
Dentist
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300
DR. KYLE WIBLISHOUSER DDS
Dentist (General Practice)
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300
DR. EUGENE KIM DDS
Dentist (General Practice)
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300
JACOB COPENHAVER DDS
Dentist (General Practice)
11110 FORT ST STE 106
OMAHA, NE 68164
Douglas County (402) 492-8300

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 Jonathan Russo's NPI number?

The NPI number for Jonathan Russo is 1780472308. It was assigned to this individual provider in the NPPES registry on April 25, 2025.

Where is Jonathan Russo located?

Jonathan Russo practices at 11110 Fort St Ste 106, Omaha, NE 68164. The listed phone number is (402) 492-8300.

What is Jonathan Russo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jonathan Russo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Nebraska, Delta Dental of Nebraska and Guardian and 4 other insurers list Jonathan 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 Jonathan Russo was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.