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

Dr. Mary Kathleen Russo, DMD

Individual provider General Practice Dentistry · NPI 1710030234

Dr. Mary Kathleen Russo, DMD is a General Practice Dentistry in Sea Girt, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

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

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Practice location Address checks out

804 Highway 71
Sea Girt, NJ 08750-2807
Phone: (732) 449-6564
Fax: (732) 449-8606
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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 22DI02293800 (NJ)

Record details

NPI number1710030234
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESJuly 10, 2015

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