Rye Brook Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042549-1 Issued in NY

Legal business name

RYE BROOK DENTAL ASSOCIATES, P.C.

Practice address

3010 Westchester Ave
Suite#202
Purchase, NY 10577-2535

Phone

(914) 251-0117

Fax

(914) 251-0254

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Henry R Russo, D.D.S.NPI 1316379217

Title

Owner

Phone

(914) 251-0117

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry Ralph Russo, D.D.S.

  • Dentist
  • Purchase, NY
  • NPI 1316379217
  NPD (past) Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467583716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE#202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772535",
            "telephone_number": "914-251-0117",
            "fax_number": "914-251-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "SUITE#202",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772535",
            "telephone_number": "914-251-0117",
            "fax_number": "914-251-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE BROOK DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-251-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042549-1",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "021113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S Rosenfield, M.D.
• Gregory Adam Rosner, M.D.
• Christine Russo-Mayer, AU.D.
• Henry Ralph Russo, D.D.S.
• Lindsay Nicole Rutherford, DMD, MD
• Karen Safris, LMSW
• Nicole Sanchez
• Ruth Milena Sanchez, MD
• Margarita Santos, AGNP-C
• Susan Sapek

• General Practice Dentistry in Purchase, NY
• Providers in Purchase, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.