Russo Dental Llc

LBN: Russo Dental Llc
Russo Dental Llc is an health care organization with primary practice located at 12690 W North Ave , Brookfield WI 53005-4636. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Russo Dental Llc can be contacted via phone (262) 784-3740, or through Russo, Nicholas Vito via phone (262) 894-1071.

Contact Information

Primary practice address
12690 W North Ave Brookfield WI 53005-4636
Phone: (262) 784-3740
Fax: (262) 784-3840
Website:
Map and Directions
Authorized official contact:
Name: Russo, Nicholas Vito Doctor of Dental Surgery (DDS)
Phone: (262) 894-1071

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1000994-15 Wisconsin

Profile Details

NPI number 1538557848
LBN Legal business name Russo Dental Llc
DBA Doing business as
Authorized official Russo, Nicholas Vito Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2015
Last updated Jan 8th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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