Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780472308 Individual Practitioner Male Practitioner

Dr. Jonathan P Russo , DDS

Dentist • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Russo, DDS is a registered healthcare professional specializing in Dentist in Omaha, NE. Practice services are available at 11110 FORT ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11110 Fort St Ste 106

Omaha, NE 681642183

Telephone 4024928300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
240 Specialists

Practicing in Omaha, NE (693 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: 2025-07-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NE 8115

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1093060519

Doctor of Dental Surgery

NPI 1265925853

Doctor of Dental Surgery

Dr. Brad Erickson , DDS

Dentist - General Practice

NPI 1326779430

Doctor of Dental Surgery

NPI 1336021559

Doctor of Dental Surgery

Dr. Kyle Wiblishouser , DDS

Dentist - General Practice

NPI 1386262954

Doctor of Dental Surgery

NPI 1407237407

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Dentist (License #8115 in NE)

NPI Profile Active April 25, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2025

Registered at 11110 FORT ST STE 106, OMAHA, NE 681642183 (Tel: 4024928300)

📍
Updated Business Mailing Address April 25, 2025

Registered at 406 MAYMONT DR, CRAMERTON, NC 280321611 (Tel: 7048406342)

👤
Provider Name / Credentials Updated April 25, 2025

Recorded as JONATHAN RUSSO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 25, 2025

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: 1780472308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2025
Last Update: July 30, 2025
Sole Proprietor: Yes

Mailing Address

406 Maymont Dr

Cramerton, NC 280321611

Phone: 7048406342

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.