1. Home
  2. Directory
  3. Illinois
  4. Carbondale
  5. Dentist
  6. NPI Profile

RUSSELL EDWARD KLEIN DMD
NPI 1639397128
Dentist - General Practice in Carbondale, IL

Active since April 23, 2007
374 E GRAND AVE, STUDENT HEALTH CENTER SIVC, CARBONDALE, IL 62901(618) 536-2421(618) 453-3477 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Russell Edward Klein Dmd NPPES

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

RUSSELL EDWARD KLEIN DMD (NPI 1639397128) is an individual general practice provider in Carbondale, Illinois, licensed in Missouri (016106) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1639397128
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameRUSSELL EDWARD KLEINCredential: DMD
Location Address374 E GRAND AVE, STUDENT HEALTH CENTER SIVCCarbondale, IL 62901
Mailing Address910 Iris LaneDu Quoin, IL 62832 · (618) 542-2797
Phone(618) 536-2421
Fax(618) 453-3477
Sole ProprietorNo
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639397128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 016106
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.
374 E GRAND AVE, Carbondale, IL 62901
Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

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

SOUTHERN ILLINOIS UNIVERSITY STUDENT
Pharmacy (Institutional Pharmacy)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-4417
DR. WARREN THOMAS BUSH PH.D.
Psychologist (Clinical)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-5371
MS. NANCY ANN MCDONALD PAC
Physician Assistant
374 E GRAND AVE, STUDENT HEALTH CENTER MAILCODE 6740
CARBONDALE, IL 62901
Jackson County (618) 453-3311
LYDIA KIM
Social Worker (Clinical)
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 452-3311
JILL BETHANY WILSON FNP
Nurse Practitioner
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-3311
DAMILOLA ROTIMI
Case Manager/Care Coordinator
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 901-6841
DR. KENDALL MARIE WACHTER DMD
Dentist (General Practice)
374 E GRAND AVE, STUDENT HEALTH CENTER SIUC
CARBONDALE, IL 62901
Jackson County (618) 536-2421
PAUL ERIC WINCHESTER PTA
Physical Therapy Assistant
374 E GRAND AVE
CARBONDALE, IL 62901
Jackson County (618) 453-1292

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 Russell Klein's NPI number?

The NPI number for Russell Klein is 1639397128. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Russell Klein located?

Russell Klein practices at 374 E Grand Ave Student Health Center Sivc, Carbondale, IL 62901. The listed phone number is (618) 536-2421.

What is Russell Klein'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 Russell Klein was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.