Organization
PEDIATRIC DENTISTRY & ORTHODONTICS, LLC
Active
Other names
Pediatric Dentistry of Midland Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMINE CARLO RUSSO DMD, MS (GENERAL PARTNER)
(201) 445-5555
Entity
Organization
Contact information
Practice address
6 PROSPECT ST, SUITE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
(201) 445-5057
Mailing address
6 PROSPECT ST, SUITE 1A, MIDLAND PARK, NJ 07432-1606
(201) 445-5555
(201) 445-5057
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
09/11/2025
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