Jonathan Russo, DDS

NPI 1780472308 · on the registry since 2025 · sole proprietor

Practice

Address: 11110 Fort St Ste 106
Omaha, NE 68164
Phone: (402) 492-8300
Organisation at this address: Tlc At Home Inc
Comper Care Rehab Inc
Missouri Valley Dental Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-30

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 Nebraska