GRANT CHRISTIAN RUSSELL DMD
NPI 1366129223
Dentist - General Practice in Godfrey, IL

Q: What is Grant Russell's NPI number?

The NPI number for Grant Russell is 1366129223. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Grant Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Grant Russell was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2023

1203 W DELMAR AVE, GODFREY, IL 62035(618) 466-3140 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grant Christian Russell Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRANT CHRISTIAN RUSSELL DMD (NPI 1366129223) is an individual general practice provider in Godfrey, Illinois, licensed in Illinois (019.034468) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1366129223

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameGRANT CHRISTIAN RUSSELLCredential: DMD

Location Address1203 W DELMAR AVEGodfrey, IL 62035-1739

Mailing Address1859 Evergreen AveAlton, IL 62002-4753 · (573) 286-7977

Phone(618) 466-3140

Sole ProprietorYes

Enumeration DateJuly 3, 2023

NPPES CertifiedJuly 2, 2023

✔ NPI 1366129223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.034468

Definition

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.

1203 W DELMAR AVE, Godfrey, IL 62035

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY SUZANNE MARTIN D.M.D.

Dentist

1203 W DELMAR AVE
GODFREY, IL 62035

Madison County (618) 466-3140

DR. JAXSEN JAMES ARTHUR HELMKAMP DMD

Dentist

1203 W DELMAR AVE
GODFREY, IL 62035

Madison County (618) 466-3140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grant Russell's NPI number?

The NPI number for Grant Russell is 1366129223. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Grant Russell located?

Grant Russell practices at 1203 W Delmar Ave, Godfrey, IL 62035. The listed phone number is (618) 466-3140.

What is Grant Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Grant Russell was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.