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Justin Russo, D.D.S.
NPI 1205149275 · General Practice Dentistry · Raleigh, NC
Justin Russo, D.D.S. is a General Practice Dentistry provider in Raleigh, NC (NPI 1205149275).
Provider details
- NPI number
- 1205149275
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS039342 (PA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3811 Ed Dr Ste 120
Raleigh, NC 27612-2393
Phone: (919) 890-5147
Fax: (919) 890-5953
Street-level locationGet directions
Mailing address
3811 Ed Dr Ste 120
Raleigh, NC 27612-2393
Registry dates
- Enumerated
- 2010-07-20
- Last updated
- 2019-03-20
Frequently asked questions
- What is Justin Russo's NPI number?
- Justin Russo's National Provider Identifier (NPI) is 1205149275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Russo's specialty?
- Justin Russo is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Justin Russo located?
- Justin Russo's practice location on file with NPPES is 3811 Ed Dr Ste 120, Raleigh, NC 27612-2393.
- What is Justin Russo's phone number?
- The practice phone number listed in the NPPES registry for Justin Russo is (919) 890-5147.
- Is Justin Russo's NPI active?
- Yes — Justin Russo's NPI (1205149275) is active in the NPPES registry as of the last update on 2019-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.