Russell E. Gilliom, DDS, PC
Russell E. Gilliom, DDS, PC is a Dental Clinic/Center in Churubusco, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
230 E Whitley StChurubusco, IN 46723-1506
Phone: (260) 693-2177
Fax: (260) 693-6422
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence 54000935A (IN) |
|---|
Record details
| NPI number | 1902021827 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Russell Gilliom — President · (260) 693-2177 |
| NPI enumerated | April 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 265, Churubusco, IN 46723-0265 |
Other providers in Churubusco
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Aci Dental LLC
210 W Whitley St, Churubusco, IN 46723-1720 · (260) 693-9300
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Churubusco Family Dentistry, LLC
230 E Whitley St, Churubusco, IN 46723-1506 · (260) 693-2177
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Turtle Town Dental LLC
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