Russo Dental Llc - Dental Clinic in Brookfield, WI

Russo Dental Llc is a dental clinic (Dentist - General Practice) in Brookfield, Wisconsin. The current practice location for Russo Dental Llc is 12690 W North Ave, Brookfield, Wisconsin. For appointments, you can reach them via phone at (262) 784-3740. The mailing address for Russo Dental Llc is 12690 W North Ave, Brookfield, Wisconsin and phone number is (262) 784-3740.

Russo Dental Llc is licensed to practice in Wisconsin (license number 1000994-15) and its NPI number is 1538557848. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (262) 784-3740.

Contact Information

Russo Dental Llc
12690 W North Ave
Brookfield
WI 53005-4636
(262) 784-3740
(262) 784-3840

Dental Care Clinic Profile

Full NameRusso Dental Llc
SpecialityDentist - General Practice
Location12690 W North Ave, Brookfield, Wisconsin
Authorized Official Name and PositionNicholas Vito Russo (OWNER)
Authorized Official Contact2628941071
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russo Dental Llc
12690 W North Ave
Brookfield
WI 53005-4636

Ph: (262) 784-3740
Russo Dental Llc
12690 W North Ave
Brookfield
WI 53005-4636

Ph: (262) 784-3740

NPI Details:

NPI Number1538557848
Provider Enumeration Date01/08/2015
Last Update Date01/08/2015

Medical Identifiers

Medical identifiers for Russo Dental Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538557848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1000994-15 (Wisconsin)Primary

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› Verified 9 days ago


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