IndividualActive
Angela Russo, LDH
NPI 1467078485 · Dental Hygienist · Kokomo, IN
Provider details
- NPI number
- 1467078485
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- LDH
- Sex
- Female
- Sole proprietor
- No
- License
- 13003464A (IN)
Specialties & taxonomies
Dental Providers
Practice location
3118 S Lafountain St
Kokomo, IN 46902-3710
Phone: (765) 864-4160
Approximate (ZIP-level) locationGet directions
Mailing address
3118 S Lafountain St
Kokomo, IN 46902-3710
Registry dates
- Enumerated
- 2020-06-25
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.