Organization
HERTZLER & RUSSO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP NICHOLAS RUSSO DDS (OWNER SECRETARY)
(412) 371-2442
Entity
Organization
Contact information
Practice address
10493 FRANKSTOWN ROAD, PITTSBURGH, PA 15235
(412) 371-2442
(412) 371-3892
Mailing address
10493 FRANKSTOWN ROAD, PITTSBURGH, PA 15235
(412) 371-2442
(412) 371-3892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026260L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS019248L
PA
Other
Enumeration date
09/08/2006
Last updated
09/11/2025
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