ANGELA ILLUZZI-RUSSO, DDS
Oral and Maxillofacial Surgery (Dentist) · PORTLAND, ME
Individual Active Opted out of Medicare NPI 1811041726
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | DEN4836 | ME |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 052809 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22DI02347100 | NJ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Opted out of Medicare (Oral Surgery), effective 2025-01-01 through 2027-01-01.
Other Oral and Maxillofacial Surgery (Dentist) providers in Maine
- NPI 1043200868
- NPI 1366854838
- NPI 1265814784
- NPI 1225533359
- NPI 1346745106
- NPI 1245725431
- NPI 1407833668
- NPI 1669652764
See all Oral and Maxillofacial Surgery (Dentist) providers in Maine →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.