| Russo Dental Llc | |
|
12690 W North Ave Brookfield WI 53005-4636 | |
| (262) 784-3740 | |
| (262) 784-3840 |
| Full Name | Russo Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12690 W North Ave, Brookfield, Wisconsin |
| Authorized Official Name and Position | Nicholas Vito Russo (OWNER) |
| Authorized Official Contact | 2628941071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russo Dental Llc 12690 W North Ave Brookfield WI 53005-4636 Ph: (262) 784-3740 | Russo Dental Llc 12690 W North Ave Brookfield WI 53005-4636 Ph: (262) 784-3740 |
| NPI Number | 1538557848 |
|---|---|
| Provider Enumeration Date | 01/08/2015 |
| Last Update Date | 01/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538557848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1000994-15 (Wisconsin) | Primary |
Greenbrook Dentistry S C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13780 W Greenfield Ave, Suite 780, Brookfield, WI 53005 Phone: 262-782-4860 Fax: 262-782-7720 | |
Brookfield Dentistry Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13905 W Burleigh Rd, Brookfield, WI 53005 Phone: 262-786-8440 | |
Steinbach Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18200 W Capitol Dr, Suite 202, Brookfield, WI 53045 Phone: 262-781-0080 | |
Wisconsin Dental Group, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15680 W Capitol Dr, Brookfield, WI 53005 Phone: 262-373-0344 | |
Elmbrook Family Dental, S.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Executive Dr, Suite 105, Brookfield, WI 53005 Phone: 262-784-7201 Fax: 262-784-0542 | |
Small World Childrens Dentistry Sc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17585 W North Ave, Suite 230, Brookfield, WI 53045 Phone: 262-780-9996 | |
Elmbrook Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Executive Dr, Suite 105, Brookfield, WI 53005 Phone: 262-784-7201 Fax: 262-784-0542 |