# MICHAEL RUSSO DDS SUSAN E SCHARLOCK DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992914063
- **Authorized official:** DR. MICHAEL RUSSO DDS (DENTIST OWNER)
- **Authorized official phone:** (610) 696-1025

## Contact information

- **Practice address:** 2 CIRCLE AVE, WEST CHESTER, PA 19382-4808
- **Practice address phone:** (610) 696-1025
- **Practice address fax:** (610) 696-1058
- **Mailing address:** 1039 GENERAL LAFAYETTE BLVD, WEST CHESTER, PA 19382-8084
- **Mailing address phone:** (610) 793-0525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS024419L | PA | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020