Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Russo DDS PA

Organization Dental Clinic/Center · NPI 1346732674

Justin Russo DDS PA is a Dental Clinic/Center in Raleigh, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3811 ED Dr Ste 120
Raleigh, NC 27612
Phone: (919) 890-5147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1346732674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Russo — Owner · (919) 890-5147
Other names Russo Dentistry
NPI enumeratedJune 1, 2018
Last updated in NPPESMarch 20, 2019
Mailing address3811 Ed Dr Ste 120, Raleigh, NC 27612-2393

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