Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679538367 Individual Practitioner Male Practitioner

Dr. John E Russo , DMD

Dentist - General Practice • Orlando, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. John Russo, DMD is a registered healthcare professional specializing in Dentist - General Practice in Orlando, FL. Official NPI practice address is registered at 430 N MILLS AVE.

Practice Location & Contact Primary Location

Practice Address

430 N Mills Ave

Orlando, FL 328035746

Telephone 4078432112
Fax 4078431702
Associated Practice Facility / Clinic
🏢 John E. Russo, D.m.d, P.a. Facility NPI 1508680497

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orlando, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
312 Specialists

Practicing in Orlando, FL (7473 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

CMS Verified: 2024-01-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN0013542

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

5 Associated Practitioners
Glenn Paulk , DDD, MS

Dentist - Endodontics

NPI 1437209095

DDD, Master of Science

Andrew Watson , MS, LMHC

Counselor - Mental Health

NPI 1558746842

Master of Science, Licensed Mental Health Counselor

Dr. Derek Slosser , DMD

Dentist - Endodontics

NPI 1609805357

Doctor of Dental Medicine

Dr. Pedro Amador , DMD

Dentist - Endodontics

NPI 1679624647

Doctor of Dental Medicine

Dr. Charles Glosson , DMD

Dentist - Endodontics

NPI 1770631137

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address January 14, 2024

Registered at 430 N MILLS AVE STE 3, ORLANDO, FL 328035746 (Tel: 4078432112)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 430 N MILLS AVE, ORLANDO, FL 328035746 (Tel: 4078432112)

📍
Updated Business Mailing Address July 08, 2007

Registered at 430 N MILLS AVE, ORLANDO, FL 328035746 (Tel: 4078432112)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN RUSSO, DMD

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

Dentist (License #DN0013542 in FL)

🟢
Initial NPI Registration & Enumeration April 18, 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: 1679538367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2006
Last Update: January 14, 2024
Sole Proprietor: Yes

Mailing Address

430 N Mills Ave Ste 3

Orlando, FL 328035746

Phone: 4078432112

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.