Dr. Nicholas Vito Russo is a Brookfield, Wisconsin based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Nicholas Vito Russo is
1000994-15 for Dentistry in Wisconsin. His current practice location is
12690 W North Ave, Brookfield. Patients can reach him at
262-784-3740.
Dr. Nicholas Vito Russo is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Nicholas Vito 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. Nicholas Vito Russo |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 12690 W North Ave, Brookfield,
Wisconsin, 53005-4636 |
| Phone: | 262-784-3740 |
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: | 1063811297 |
| NPI Enumeration Date: | 13 Aug, 2014 |
| NPI Last Update On: | 09 Feb, 2016 |
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. Nicholas Vito Russo are as mentioned below.
| License Number | Specialization | State | Status | |
| 1000994-15 | Dentistry | Wisconsin | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12690 W North Ave,
Brookfield, Wisconsin |
| Zip: | 53005-4636 |
| Phone Number: | 262-784-3740 |
Patients can reach Dr. Nicholas Vito Russo at
12690 W North Ave, Brookfield, Wisconsin or can
call to book an appointment on 262-784-3740.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.