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

Russell Edward Klein, DMD

Individual provider General Practice Dentistry · NPI 1639397128

Russell Edward Klein, DMD is a General Practice Dentistry in Carbondale, Illinois. Licensed in Illinois and Missouri. Registered with an NPI since 2007.

Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

374 E Grand Ave Student Health Center Sivc
Carbondale, IL 62901
Phone: (618) 536-2421
Fax: (618) 453-3477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 016106 (MO)

Record details

NPI number1639397128
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing address910 Iris Lane, Du Quoin, IL 62832

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