IndividualActive
Jacqueline Russo, DDS
NPI 1225558604 · General Practice Dentistry · Boynton Beach, FL
Jacqueline Russo, DDS is a General Practice Dentistry provider in Boynton Beach, FL (NPI 1225558604).
Provider details
- NPI number
- 1225558604
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN12954 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
11676 Dunes Rd
Boynton Beach, FL 33436-5503
Phone: (561) 212-9405
Street-level locationGet directions
Mailing address
11676 Dunes Rd
Boynton Beach, FL 33436-5503
Registry dates
- Enumerated
- 2017-06-26
- Last updated
- 2017-06-26
Frequently asked questions
- What is Jacqueline Russo's NPI number?
- Jacqueline Russo's National Provider Identifier (NPI) is 1225558604, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Russo's specialty?
- Jacqueline Russo is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Jacqueline Russo located?
- Jacqueline Russo's practice location on file with NPPES is 11676 Dunes Rd, Boynton Beach, FL 33436-5503.
- What is Jacqueline Russo's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Russo is (561) 212-9405.
- Is Jacqueline Russo's NPI active?
- Yes — Jacqueline Russo's NPI (1225558604) is active in the NPPES registry as of the last update on 2017-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.