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

Dr. Jacqueline Russo, DDS

Individual provider General Practice Dentistry · NPI 1225558604

Dr. Jacqueline Russo, DDS is a General Practice Dentistry in Boynton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2017
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.

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Practice location Address checks out

11676 Dunes Rd
Boynton Beach, FL 33436-5503
Phone: (561) 212-9405
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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 DN12954 (FL)

Record details

NPI number1225558604
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 26, 2017
Mailing address11676 Dunes Rd, Boynton Beach, FL 33436-5503

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