OrganizationActive
Justin Russo DDS PA
NPI 1346732674 · Dental Clinic/Center · Raleigh, NC
Justin Russo DDS PA is a Dental Clinic/Center organization in Raleigh, NC (NPI 1346732674).
Provider details
- NPI number
- 1346732674
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Russo, Owner(919) 890-5147
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Phone: (919) 890-5147
Street-level locationGet directions
Mailing address
3811 Ed Dr Ste 120
Raleigh, NC 27612-2393
Other names (DBA / former)
- Doing business as
- Russo Dentistry
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2019-03-20
Frequently asked questions
- What is Justin Russo DDS PA's NPI number?
- Justin Russo DDS PA's National Provider Identifier (NPI) is 1346732674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Justin Russo DDS PA?
- Justin Russo DDS PA is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Justin Russo DDS PA located?
- Justin Russo DDS PA's practice location on file with NPPES is 3811 Ed Dr Ste 120, Raleigh, NC 27612.
- What is Justin Russo DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Justin Russo DDS PA is (919) 890-5147.
- Who is the authorized official for Justin Russo DDS PA?
- The authorized official listed on Justin Russo DDS PA's NPPES record is Justin Russo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Justin Russo DDS PA's NPI active?
- Yes — Justin Russo DDS PA's NPI (1346732674) 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.