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

Dr. Edward Nicholas Russo, DMD

Individual provider Endodontics · NPI 1003954215

Dr. Edward Nicholas Russo, DMD is an Endodontics in Commack, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2171 Jericho Tpke Ste # 145
Commack, NY 11725
Phone: (631) 462-6888
Fax: (631) 499-0775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 040596 (NY)

Record details

NPI number1003954215
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESJuly 8, 2007

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