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

Dr. Nicholas Vito Russo, DDS

Individual provider Dentist · NPI 1063811297

Dr. Nicholas Vito Russo, DDS is a Dentist in Brookfield, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
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

12690 W North Ave
Brookfield, WI 53005-4636
Phone: (262) 784-3740
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1000994-15 (WI)

Record details

NPI number1063811297
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 13, 2014
Last updated in NPPESFebruary 9, 2016
Mailing address12690 W North Ave, Brookfield, WI 53005-4636

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