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

Grant Christian Russell, DMD

Individual provider General Practice Dentistry · NPI 1366129223

Grant Christian Russell, DMD is a General Practice Dentistry in Godfrey, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

1203 W Delmar Ave
Godfrey, IL 62035-1739
Phone: (618) 466-3140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.034468 (IL)

Record details

NPI number1366129223
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESJuly 3, 2023
Certification dateJuly 2, 2023

Other providers in Godfrey