Dr. Mary Kathleen Russo is a Sea Girt, New Jersey based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mary Kathleen Russo is
22DI02293800 for General Practice Dentistry in New Jersey. Her current practice location is
804 Highway 71, Sea Girt. Patients can reach her at
732-449-6564.
Dr. Mary Kathleen Russo is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mary Kathleen Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mary Kathleen Russo |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | D.M.D |
| Accepts Medicare Assignment: | No |
| Practice Address: | 804 Highway 71, Sea Girt,
New Jersey, 08750-2807 |
| Phone: | 732-449-6564 |
| Fax: | 732-449-8606 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1710030234 |
| NPI Enumeration Date: | 19 Jan, 2007 |
| NPI Last Update On: | 10 Jul, 2015 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mary Kathleen Russo are as mentioned below.
| License Number | Specialization | State | Status | |
| 22DI02293800 | General Practice Dentistry | New Jersey | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 808 Spray Ave,
Beachwood, New Jersey |
| Zip: | 08722-4626 |
| Phone Number: | 973-747-5383 |
| Fax Number: | 732-449-6564 |
Patients can reach Dr. Mary Kathleen Russo at
804 Highway 71, Sea Girt, New Jersey or can
call to book an appointment on 732-449-6564.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.