Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Russell T Grimm, DDS

Individual provider Dentist · NPI 1508085481

Dr. Russell T Grimm, DDS is a Dentist in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

749 University Row
Madison, WI 53705
Phone: (608) 238-7112
Fax: (608) 238-1061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5193-015 (WI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 5193 (WI)

Record details

NPI number1508085481
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESOctober 8, 2013
Mailing address749 University Row, Madison, WI 53705

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