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

Russo Dental LLC

Organization General Practice Dentistry · NPI 1538557848

Russo Dental LLC is a General Practice Dentistry in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2015.

Licensed in
WI
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12690 W North Ave
Brookfield, WI 53005-4636
Phone: (262) 784-3740
Fax: (262) 784-3840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1000994-15 (WI)

Record details

NPI number1538557848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicholas Russo — Owner · (262) 894-1071
NPI enumeratedJanuary 8, 2015
Last updated in NPPESJanuary 8, 2015
Mailing address12690 W North Ave, Brookfield, WI 53005-4636

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