Grant Christian Russell is a Godfrey, Illinois based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Grant Christian Russell is 019.034468 for General Practice Dentistry in Illinois. His current practice location is 1203 W Delmar Ave, Godfrey. Patients can reach him at 618-466-3140.
Grant Christian Russell is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Grant Christian Russell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Grant Christian Russell
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1203 W Delmar Ave, Godfrey, Illinois, 62035-1739
Phone:
618-466-3140
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366129223
NPI Enumeration Date:
03 Jul, 2023
NPI Last Update On:
03 Jul, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grant Christian Russell are as mentioned below.
License Number
Specialization
State
Status
019.034468
General Practice Dentistry
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1859 Evergreen Ave, Alton, Illinois
Zip:
62002-4753
Phone Number:
573-286-7977
Patients can reach Grant Christian Russell at 1203 W Delmar Ave, Godfrey, Illinois or can call to book an appointment on 618-466-3140. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.