DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUSSELL E. GILLIOM, D.D.S., P.C.

Active Organization

Dental Clinic · CHURUBUSCO, IN

Registration Details

NPI Number
1902021827
Provider Type
Organization
NPI Issued
Apr 16, 2007 (19.033522717748 yrs)
Last Updated
Aug 22, 2020
License
54000935A (IN)

Practice Information

Address
230 E WHITLEY ST
CHURUBUSCO, IN, 467231506
Browse IN providers · Browse ZIP 46723
Phone
2606932177
Fax
2606936422
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in CHURUBUSCO, IN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.