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

Dr. Jonathan P Russo, DDS

Individual provider Dentist · NPI 1780472308

Dr. Jonathan P Russo, DDS is a Dentist in Omaha, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2025
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

11110 Fort St Ste 106
Omaha, NE 68164-2183
Phone: (402) 492-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 8115 (NE)

Record details

NPI number1780472308
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 25, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address406 Maymont Dr, Cramerton, NC 28032-1611

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