Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL ERIC GILLIOM, D.D.S.
ActiveDR. RUSSELL ERIC GILLIOM, D.D.S. is a Dentist healthcare provider located in CHURUBUSCO, Indiana. NPI 1417172321 is currently active in the NPPES registry. Verify at CMS.
Dentist · CHURUBUSCO, IN
Registration Details
- NPI Number
- 1417172321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 16, 2007 (19.183395767198 yrs)
- Last Updated
- Jan 14, 2008
- License
-
12007296 (IN)
Practice Information
- Address
-
230 E WHITLEY STCHURUBUSCO, IN, 467231506Browse IN providers · Browse ZIP 46723
- Phone
- 2606932177
- Fax
- 2606936422
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CHURUBUSCO, IN
| Name | Credential | NPI |
|---|---|---|
| DR. DIONNE JUSTINE HLADIN | D.D.S. | 1699792622 |
| DR. TODD KLEINRICHERT | D.D.S. | 1447372362 |
| DR. RICHARD EDWARD ZOLLINGER | D.D.S. | 1508082272 |
| DR. EMILY BERNING JOHNSON | D.D.S. | 1558710939 |
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.