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

Dr. Angela Michelle Illuzzi-Russo, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1811041726

Dr. Angela Michelle Illuzzi-Russo, DDS is an Oral and Maxillofacial Surgery (Dentist) in Portland, Maine. Practices as a sole proprietor. Licensed in Maine, New Jersey and New York.

Licensed in
ME, NJ, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

190 Park Ave
Portland, ME 04102-1000
Phone: (207) 874-1028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DEN4836 (ME)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 052809 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 22DI02347100 (NJ)

Record details

NPI number1811041726
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJanuary 22, 2007
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021

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