RUSSELL E. GILLIOM, D.D.S., P.C.
NPI 1902021827
Clinic/Center - Dental in Churubusco, IN

Active since April 16, 2007
230 E WHITLEY ST, CHURUBUSCO, IN 46723(260) 693-2177(260) 693-6422 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell E. Gilliom, D.d.s., P.c. NPPES

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

RUSSELL E. GILLIOM, D.D.S., P.C. (NPI 1902021827) is a healthcare organization registered as a dental in Churubusco, Indiana and active in the NPI registry since April 2007. The organization lists Russell E. Gilliom, President, as its authorized official.

NPPES Registry Identity

NPI1902021827
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameRUSSELL E. GILLIOM, D.D.S., P.C.
Location Address230 E WHITLEY STChurubusco, IN 46723-1506
Mailing AddressPo Box 265Churubusco, IN 46723-0265 · (260) 693-2177 · Fax (260) 693-6422
Fax(260) 693-6422
Organization SubpartNo
Authorized OfficialRussell E. GilliomPresident · (260) 693-2177
Enumeration DateApril 16, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1902021827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IN · 54000935A
230 E WHITLEY ST, Churubusco, IN 46723

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Dental)
230 E WHITLEY ST
CHURUBUSCO, IN 46723
Dentist
230 E WHITLEY ST
CHURUBUSCO, IN 46723
Dentist
230 E WHITLEY ST
CHURUBUSCO, IN 46723
Dentist
230 E WHITLEY ST
CHURUBUSCO, IN 46723

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 E. Gilliom, D.D.S., P.C.'s NPI number?

The NPI number for Russell E. Gilliom, D.D.S., P.C. is 1902021827. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Russell E. Gilliom, D.D.S., P.C. located?

Russell E. Gilliom, D.D.S., P.C. is located at 230 E Whitley St, Churubusco, IN 46723. The listed phone number is (260) 693-2177.

What is Russell E. Gilliom, D.D.S., P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Russell E. Gilliom, D.D.S., P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.