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

Dr. John Thomas Russo, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1588452262

Dr. John Thomas Russo, DMD is a Student in an Organized Health Care Education/Training Program in Boston, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2025
Specialties on file
2
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Boston, MA

No coordinates on file. Search this address in Google Maps

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN10000890 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1588452262
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESJuly 29, 2025
Certification dateJuly 29, 2025

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