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Active NPI 1053334086 Individual Practitioner Male Practitioner

Dr. John Russo , DMD

Dentist - Endodontics • Middletown, CT

Professional Overview & Biography Verified Profile Summary

Dr. John Russo, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Middletown, CT. Practice services are available at 535 SAYBROOK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

535 Saybrook Rd

Middletown, CT 064574743

Telephone 8603477497
Fax 8603440522
Associated Practice Facility / Clinic
🏢 Apollonia Dental Llc Facility NPI 1073524385

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Middletown, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Middletown, CT (98 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License CT 4961

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1043488422

Doctor of Podiatric Medicine

Dr. Danuta Jaworska-Bzymek , MD

Plastic Surgery - Surgery of the Hand

NPI 1447283460

Doctor of Medicine (M.D.)

Dr. Paul Zimmitti , DDS

Dentist - General Practice

NPI 1538272992

Doctor of Dental Surgery

Dr. Mari Rebane-Mazzotta , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1659599488

Doctor of Medicine (M.D.)

NPI 1740345313

Doctor of Podiatric Medicine

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 535 SAYBROOK RD, MIDDLETOWN, CT 064574743 (Tel: 8603477497)

📍
Updated Business Mailing Address July 08, 2007

Registered at 836 FARMINGTON AVE, SUITE 115, WEST HARTFORD, CT 061191505 (Tel: 8602320033)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RUSSO, D.M.D.

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

Dentist (License #4961 in CT)

🟢
Initial NPI Registration & Enumeration July 25, 2006

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: 1053334086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

836 Farmington Ave, Suite 115

West Hartford, CT 061191505

Phone: 8602320033

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.