Justin Russo, D.D.S

NPI 1205149275 · on the registry since 2010 · sole proprietor

Practice

Address: 3811 Ed Dr Ste 120
Raleigh, NC 27612
Phone: (919) 890-5147
Fax: (919) 890-5953
Organisation at this address: Justin Russo Dds Pa
Raleigh Skin Surgery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Also registered as: 1223G0001X
Licence states on file: PA, NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina