Russo, Jeffrey Carl
Russo, Jeffrey Carl is an sole proprietor health care provider with primary practice located at 148 North Rd , East Windsor CT 06088-9502. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Russo, Jeffrey Carl can be contacted via phone (860) 627-5235.Contact Information
Primary practice address
148 North Rd
East Windsor CT 06088-9502
Phone: (860) 627-5235
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 9049 | Connecticut |
Profile Details
| NPI number | 1396862561 |
|---|---|
| LBN Legal business name | Russo, Jeffrey Carl |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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