Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT CHRISTIAN RUSSELL, DMD
Active Sole ProprietorGRANT CHRISTIAN RUSSELL, DMD is a General Dentistry healthcare provider located in GODFREY, Illinois. NPI 1366129223 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · GODFREY, IL
Registration Details
- NPI Number
- 1366129223
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 3, 2023 (3.1143818090931 yrs)
- Last Updated
- Jul 3, 2023
- License
-
019.034468 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1203 W DELMAR AVEGODFREY, IL, 620351739Browse IL providers · Browse ZIP 62035
- Phone
- 6184663140
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in GODFREY, IL
| Name | Credential | NPI |
|---|---|---|
| DR. DANNY J. YOUNGER | D.M.D. | 1760449391 |
| DR. LARRY WAYNE CROCKER | D.M.D. | 1588617518 |
| DR. ANNA R SMITH | DMD | 1780621870 |
| JAMES MATHUS | D.M.D. | 1518058593 |
| DR. JAMES EDWARD MERKLE | D.M.D. | 1659468635 |
| DR. LAWRENCE E NEWQUIST | DMD | 1447468319 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.