Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023131513 Individual Practitioner Male Practitioner

Dr. John Joseph Russo , DDS

Dentist - General Practice • San Bruno, CA

Professional Overview & Biography Verified Profile Summary

Dr. John Russo, DDS is a registered healthcare professional specializing in Dentist - General Practice in San Bruno, CA. Practice services are available at 1101 EL CAMINO REAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1101 El Camino Real

San Bruno, CA 940662405

Telephone 6505832273

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Bruno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
33 Specialists

Practicing in San Bruno, CA (18734 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 25980

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Nancy Zuccani , MFT

Marriage & Family Therapist

NPI 1801105259

Marriage and Family Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1101 EL CAMINO REAL, SAN BRUNO, CA 940662405 (Tel: 6505832273)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1101 EL CAMINO REAL, SAN BRUNO, CA 940662405 (Tel: 6505832273)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RUSSO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #25980 in CA)

🟢
Initial NPI Registration & Enumeration April 09, 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: 1023131513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1101 El Camino Real

San Bruno, CA 940662405

Phone: 6505832273

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.