Russell E. Gilliom, D.D.S., P.C. in Churubusco - Dental
Russell E. Gilliom, D.D.S., P.C. - NPI 1902021827
Russell E. Gilliom, D.D.S., P.C. is a Dental in Churubusco, Indiana. Russell E. Gilliom, D.D.S., P.C. practices all healthcare services and medical treatments related to Dental. The NPI Number for Russell E. Gilliom, D.D.S., P.C. is 1902021827. The last update date is 2020-08-22.
Russell E. Gilliom, D.D.S., P.C.'s current location address is Po Box 265, Churubusco, Indiana. You can contact this provider via phone number 2606932177 and fax number 2606936422. The mailing address for Russell E. Gilliom, D.D.S., P.C. is Po Box 265, Churubusco, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Russell E. Gilliom, D.D.S., P.C. |
|---|---|
| Address | Po Box 265, Churubusco, Indiana |
| Phone Number | 2606932177 |
| Fax Number | 2606936422 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gilliom E. Russell |
| Credentials | D.D.S. |
| Telephone Number | 2606932177 |
NPI Number Detail
| NPI Number | 1902021827 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 265 |
|---|---|
| City | Churubusco |
| State | Indiana (IN) |
| Post Code | 467230265 |
| Phone Number | 2606932177 |
| Fax Number | 2606936422 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 54000935A |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Russell E. Gilliom, D.D.S., P.C. by the Centers for Medicare & Medicaid Services?
The Russell E. Gilliom, D.D.S., P.C. has been assigned the NPI (National Provider Identifier) 1902021827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Russell E. Gilliom, D.D.S., P.C. is located?
The Russell E. Gilliom, D.D.S., P.C. is situated at the following address: Po Box 265, Churubusco, IN, 467230265.
What is Russell E. Gilliom, D.D.S., P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Russell E. Gilliom, D.D.S., P.C. is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902021827 to Russell E. Gilliom, D.D.S., P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1902021827 to Russell E. Gilliom, D.D.S., P.C. on 2007-04-16.
As of what date was the information regarding Russell E. Gilliom, D.D.S., P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell E. Gilliom, D.D.S., P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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