F.H. Russomanno Jr., D.D.S.. P.a.,

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

F.H. RUSSOMANNO JR., D.D.S.. P.A.,

Doing business as

Oakdale Family Dentistry

Practice address

1077 Helmo Ave N
Oakdale, MN 55128-5518

Phone

(651) 731-6464

NPI assigned

Jun 4, 2019

Last updated

Aug 6, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Jacobson

Title

Business Manager

Phone

(651) 731-6464

Specialties & licenses 1

Addresses

Other names 1

• Oakdale Family Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1447818422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 HELMO AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285518",
            "telephone_number": "651-731-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 HELMO AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285518",
            "telephone_number": "651-731-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F.H. RUSSOMANNO JR., D.D.S.. P.A.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-731-6464"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oakdale Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Endoura Effect, PLLC (The Endoura Effect)
• Mikaela Erickson, LPCC
• Sarah Evans
• Everwell Primary Care PLLC (EverWell Primary Care)
• Eyestyles Optical and Boutique
• Eric Oscar Faehn, D.C.
• Fairview Pharmacy Services, LLC (Fairview Oakdale Clinic MTM)
• Christopher J Fallert, MD
• Michaela Rose-Bodensteiner Fandel, MA
• Abdirizak Feysal Farah

• Dental Clinic/Center in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.