Search › Maine › Oral and Maxillofacial Surgery (Dentist)
Angela Illuzzi-Russo, DDS
NPI 1811041726 · on the registry since 2007 · sole proprietor
Practice
- Address
- 190 Park Ave
Portland, ME 04102 - Phone
- (207) 874-1028
- Organisation at this address
- Community Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- NY, NJ, ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-02-04
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 Maine