| Thomas D. Russo, D.m.d., P.c. | |
|
63 Shore Rd Ste 13 Winchester MA 01890-2828 | |
| (781) 721-4700 | |
| (781) 729-0798 |
| Full Name | Thomas D. Russo, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 63 Shore Rd Ste 13, Winchester, Massachusetts |
| Authorized Official Name and Position | Thomas D Russo (PRESIDENT) |
| Authorized Official Contact | 7817214700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D. Russo, D.m.d., P.c. 63 Shore Rd Ste 13 Winchester MA 01890-2828 Ph: (781) 721-4700 | Thomas D. Russo, D.m.d., P.c. 63 Shore Rd Ste 13 Winchester MA 01890-2828 Ph: (781) 721-4700 |
| NPI Number | 1154560589 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154560589 | NPI | - | NPPES |
| 0263001 | Medicaid | MA | |
| 661706 | Other | MA | UNITED CONCORDIA |
| RU10679 | Other | MA | BLUE CROSS / BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15641 (Massachusetts) | Primary |
Janis Moriarty, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 Main St, Winchester, MA 01890 Phone: 781-729-7767 Fax: 781-729-1945 | |
Dr. Ralph Lauretano Sr. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 47 Shore Rd, Winchester, MA 01890 Phone: 781-729-7286 Fax: 781-729-7287 | |
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Bay State Dental Specialists Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Converse Place, 4th Floor, Winchester, MA 01890 Phone: 781-727-4644 Fax: 781-729-0581 | |
Winchester Periodontiocs & Implantology Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Main St, Suite 203, Winchester, MA 01890 Phone: 781-729-9390 Fax: 781-729-6792 | |
Pda Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 955 Main St, Winchester, MA 01890 Phone: 781-729-1900 |