Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346252616 Individual Practitioner Male Practitioner

Dr. Michael P Russo , DMD, MSD

Dentist - Endodontics • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Russo, DMD, MSD is a registered healthcare professional specializing in Dentist - Endodontics in Worcester, MA. Practice services are available at 67 HIGHLAND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

67 Highland St

Worcester, MA 016092734

Telephone 5087915529
Fax 5087914546
Associated Practice Facility / Clinic
🏢 Drs. Manzoli And Russo, Pc Facility NPI 1457393951

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Worcester, MA

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

Practicing in Worcester, MA (286 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 MD 19644

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

4 Associated Practitioners
Dr. Roger Desilets , DDS

Dentist - Endodontics

NPI 1053323485

Doctor of Dental Surgery

Dr. Nicholas Manzoli , DMD, MSE

Dentist - Endodontics

NPI 1588676845

Doctor of Dental Medicine, MSE

Dr. Dennis Byrne , DMD, MS

Dentist - Endodontics

NPI 1720090087

Doctor of Dental Medicine, Master of Science

Dr. Tenzin Tamula , DMD

Dentist - Endodontics

NPI 1801411509

Doctor of Dental 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 67 HIGHLAND ST, WORCESTER, MA 016092734 (Tel: 5087915529)

📍
Updated Business Mailing Address July 08, 2007

Registered at 24 WALKER ST, NEWTONVILLE, MA 024601518 (Tel: 6179641268)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL RUSSO, D.M.D., M.S.D.

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

Dentist (License #19644 in MD)

🟢
Initial NPI Registration & Enumeration August 13, 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: 1346252616
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

24 Walker St

Newtonville, MA 024601518

Phone: 6179641268

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.