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Deactivated NPI 1184747347 Deactivated / Inactive NPI Male Practitioner

Dr. Gabriel A Russo , DMD

Dentist • Canton, OH

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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. Gabriel Russo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 10, 2007
NPI Deactivation Date December 26, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gabriel Russo, DMD was a registered Dentist practicing in Canton, OH. Throughout an active medical career spanning 11 years, Dr. Russo provided care at the practice location at 4258 BELDEN VILLAGE MALL SPC FC-17 until profile deactivation on 2018-12-26.

Practice Location & Contact Primary Location

Practice Address

4258 Belden Village Mall Spc Fc-17

Canton, OH 447182504

Telephone 9372083844

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Canton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
41 Specialists

Practicing in Canton, OH (2953 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OH 30-022507

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
Dr. Ian Barnard , DDS

Dentist - General Practice

NPI 1154715324

Doctor of Dental Surgery

NPI 1508026824

Doctor of Dental Surgery

Dr. Sophia Thankaraj , DDS

Dentist - General Practice

NPI 1538488135

Doctor of Dental Surgery

Dr. Alexander Moore , DDS

Dentist - General Practice

NPI 1598290785

Doctor of Dental Surgery

Dr. Corey Heitz , MD

Emergency Medicine

NPI 1669684379

Doctor of Medicine (M.D.)

NPI 1699263277

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 26, 2018

Record deactivated on December 26, 2018

NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 25, 2007

Registered at 4258 BELDEN VILLAGE MALL SPC FC-17, CANTON, OH 447182504 (Tel: 9372083844)

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Updated Business Mailing Address September 25, 2007

Registered at 720 SCHNEIDER ST NE APT J5, CANTON, OH 447213292

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Provider Name / Credentials Updated September 25, 2007

Recorded as GABRIEL RUSSO, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Dentist (License #30-022507 in OH)

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Initial NPI Registration & Enumeration April 10, 2007

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: 1184747347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: September 25, 2007
Deactivation Date: December 26, 2018

Mailing Address

720 Schneider St Ne Apt J5

Canton, OH 447213292

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.