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

Peter A. Russo, DDS, Inc

Organization Periodontics · NPI 1194250019

Peter A. Russo, DDS, Inc is a Periodontics in Huntington Beach, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18800 Main St Ste 201
Huntington Beach, CA 92648-1707
Phone: (714) 842-2515
Fax: (714) 847-7075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1194250019
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Russo — Owner · (714) 842-2515
NPI enumeratedApril 28, 2017
Last updated in NPPESApril 28, 2017
Mailing address18800 Main St, Suite 201, Huntington Beach, CA 92648-1707

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