National Provider Identifier

Russell Peter Colosi, DDS

Russell Peter Colosi, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Grand Island, NY and a listed phone number of (716) 773-7682.

NPI 1497934186Grand Island, NYGeneral Practice Dentistry

Profile Overview

NPI
1497934186
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 30, 2007
Last Updated
October 30, 2007

Practice Location

  • 1348 East River Road
  • Grand Island, NY 14072-2743

Phone: (716) 773-7682

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1497934186
Entity Type
Individual
Last Name
Colosi
First Name
Russell
Middle Name
Peter
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
1348 East River Road
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-2743
Mailing Country
US
Mailing Phone
(716) 773-7682
Mailing Fax
(716) 773-9735
Practice Street Address
1348 East River Road
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-2743
Practice Country
US
Practice Phone
(716) 773-7682
Practice Fax
(716) 773-9735
Enumeration Date
October 30, 2007
Last Updated
October 30, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)