Individual provider · Type 1 NPI
Grant Christian Russell, DMD
General Practice Dentistry · Godfrey, IL
NPI number
1366129223
Active
Practice location
1203 W Delmar Ave
Godfrey, IL 62035-1739
Mailing address
1859 Evergreen Ave
Alton, IL 62002-4753
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019.034468 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2 other providers at this address
Other general practice dentistry providers in Godfrey
- Lawrence E. Newquist, DMDGeneral Practice Dentistry Godfrey, IL NPI 1447468319
- James Mathus, DMDGeneral Practice Dentistry Godfrey, IL NPI 1518058593
- Larry Wayne Crocker, DMDGeneral Practice Dentistry Godfrey, IL NPI 1588617518
- James Edward Merkle, DMDGeneral Practice Dentistry Godfrey, IL NPI 1659468635
- Danny J. Younger, DMDGeneral Practice Dentistry Godfrey, IL NPI 1760449391
- Anna R. Smith, DMDGeneral Practice Dentistry Godfrey, IL NPI 1780621870
About NPI 1366129223
Grant Christian Russell, DMD's National Provider Identifier is 1366129223, issued on Jul 3, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Godfrey, IL. The record was last updated on Jul 3, 2023.