Dr. Joseph P. Russo , DDS
Dentist - General Practice • Wakefield, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Russo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Joseph Russo, DDS was a registered Dentist - General Practice practicing in Wakefield, MA. Throughout an active medical career spanning 16 years, Dr. Russo provided care at the practice location at 15 W WATER ST until profile deactivation on 2021-03-01.
Practice Location & Contact Primary Location
15 W Water St
Wakefield, MA 018802914
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Wakefield, MA
Practicing in Wakefield, MA (3722 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 01, 2021
NPI status registered as active in NPPES database
Registered at 15 W WATER ST, WAKEFIELD, MA 018802914 (Tel: 7812454400)
Registered at 15 W WATER ST, WAKEFIELD, MA 018802914 (Tel: 7812454400)
Recorded as JOSEPH RUSSO, D.D.S.
Dentist (License #12262 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
15 W Water St
Wakefield, MA 018802914
Phone: 7812454400
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