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Active NPI 1063811297 Individual Practitioner Male Practitioner

Dr. Nicholas Vito Russo , DDS

Dentist • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Russo, DDS is a registered healthcare professional specializing in Dentist in Brookfield, WI. Practice services are available at 12690 W NORTH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12690 W North Ave

Brookfield, WI 530054636

Telephone 2627843740
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
36 Specialists

Practicing in Brookfield, WI (1850 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 WI 1000994-15

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

1 Associated Practitioners
Dr. Christopher Conlon , DDS

Dentist - General Practice

NPI 1265570139

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2016

Registered at 12690 W NORTH AVE, BROOKFIELD, WI 530054636 (Tel: 2627843740)

📍
Updated Business Mailing Address February 09, 2016

Registered at 12690 W NORTH AVE, BROOKFIELD, WI 530054636 (Tel: 2627843740)

👤
Provider Name / Credentials Updated February 09, 2016

Recorded as NICHOLAS RUSSO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2016

Dentist (License #1000994-15 in WI)

🟢
Initial NPI Registration & Enumeration August 13, 2014

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: 1063811297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2014
Last Update: February 09, 2016
Sole Proprietor: No

Mailing Address

12690 W North Ave

Brookfield, WI 530054636

Phone: 2627843740

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.