Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689875114 Individual Practitioner Male Practitioner

Dr. Leonard Ross Russo , DDS

Dentist • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Dr. Leonard Russo, DDS is a registered healthcare professional specializing in Dentist in Long Beach, CA. Practice services are available at 3320 LOS COYOTES DGL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3320 Los Coyotes Dgl
#102

Long Beach, CA 908083936

Telephone 5624218858
Fax 5626270149

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
142 Specialists

Practicing in Long Beach, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 18624

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
B1862401 (CA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 3320 LOS COYOTES DGL, #102, LONG BEACH, CA 908083936 (Tel: 5624218858)

📍
Updated Business Mailing Address July 09, 2007

Registered at 3320 LOS COYOTES DGL, #102, LONG BEACH, CA 908083936 (Tel: 5624218858)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as LEONARD RUSSO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #18624 in CA)

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689875114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

3320 Los Coyotes Dgl, #102

Long Beach, CA 908083936

Phone: 5624218858

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.