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Contact Information

NICOLE RUSSO DDS LLC
4520 CLEARVIEW PKWY
METAIRIE, LA70006-2308
 Phone: 504-454-7008
 Fax: 504-456-7308
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for NICOLE RUSSO DDS LLC

NPI # 1205715182
LBN Legal business name NICOLE RUSSO DDS LLC
Authorized official NICOLE RUSSO - (OWNER/DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 08/27/2025
Last updated 08/27/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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