Russo, John
Russo, John is an sole proprietor health care provider with primary practice located at 1704 Bay Rd , Sarasota FL 34239-6810. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Russo, John can be contacted via phone (941) 955-3100.Contact Information
Primary practice address
1704 Bay Rd
Sarasota FL 34239-6810
Phone: (941) 955-3100
Fax: (941) 955-4769
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | DN12786 | Florida |
Profile Details
| NPI number | 1538276969 |
|---|---|
| LBN Legal business name | Russo, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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