National Provider Identifier
Joseph Russo, DDS
Joseph Russo, DDS is listed in the NPPES registry with a primary specialty of Dentist in Lyons, NY and a listed phone number of (315) 946-6511.
Profile Overview
- NPI
- 1609211663
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- May 05, 2013
- Last Updated
- October 16, 2018
Practice Location
- 47 William St
- Lyons, NY 14489-1544
Phone: (315) 946-6511
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1609211663
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Joseph
- Credential
- DDS
- Mailing Street Address
- 47 William St
- Mailing City
- Lyons
- Mailing State
- NY
- Mailing ZIP Code
- 14489-1544
- Mailing Country
- US
- Mailing Phone
- (315) 946-6511
- Practice Street Address
- 47 William St
- Practice City
- Lyons
- Practice State
- NY
- Practice ZIP Code
- 14489-1544
- Practice Country
- US
- Practice Phone
- (315) 946-6511
- Enumeration Date
- May 05, 2013
- Last Updated
- October 16, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)