DR. RUSSELL ERIC GILLIOM (NPI# 1417172321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417172321 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL ERIC GILLIOM |
| Credential | D.D.S. |
| Practice Address |
230 E Whitley St Churubusco IN 46723-1506 |
| Mailing Address |
Po Box 265 Churubusco IN 46723-0265 |
| Practice Telephone | 2606932177 |
| Practice Fax Number | 2606936422 |
| Mailing Telephone | 2606932177 |
| Mailing Fax Number | 2606936422 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12007296 | IN | Dental Providers |
| Street Address |
230 E WHITLEY ST |
| City | CHURUBUSCO |
| State | IN |
| Zip Code | 46723-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699792622 | Dionne Justine Hladin | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2006-07-16 |
| 1558710939 | Emily Berning Johnson | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2016-06-07 |
| 1336310218 | Churubusco Family Dentistry, LLC | Clinic/Center | 230 E Whitley St, Churubusco, IN 46723-1506 | 2008-03-18 |
| 1902021827 | Russell E. Gilliom, D.d.s., P.C. | Clinic/Center | 230 E Whitley St, Churubusco, IN 46723-1506 | 2007-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144348202 | Voca of Indiana LLC | Intermediate Care Facility, Mentally Retarded | 5990 E 500 North, Churubusco, IN 46723 | 2007-03-27 |
| 1962562637 | Churubusco Family Medicine & Urgent Care | Family Medicine | 202 West Whitley Street, Churubusco, IN 46723 | 2006-12-11 |
| 1972622413 | Smith Green Community Schools | Local Education Agency (LEA) | 222 W Tulley St, Churubusco, IN 46723-1414 | 2007-03-28 |
| 1508082272 | Richard Edward Zollinger | Dentist | 230 E Whitley St # 265, Churubusco, IN 46723-1506 | 2007-04-18 |
| 1235148115 | Kimberly Lou Sajdak | Chiropractor | 208 E Whitley St, Churubusco, IN 46723-1506 | 2006-08-07 |
| 1205132537 | Biddle Chiropractic, P.C. | Chiropractor | 208 E Whitley St, Churubusco, IN 46723-1506 | 2011-02-03 |
| 1639178619 | David Allen Johnson | Family Medicine | 4084 North U.s Hwy 33, Churubusco, IN 46723-1700 | 2005-07-20 |
| 1356622542 | Susan Schowe | Nurse Practitioner | 202 W Whitley St, Churubusco, IN 46723-1720 | 2011-09-01 |
| 1992783294 | David W. Bolinger | Dentist | 210 W Whitley St, Churubusco, IN 46723-1720 | 2006-01-06 |
| 1891218137 | Turtle Town Dental LLC | Clinic/Center | 210 W Whitley St, Churubusco, IN 46723-1720 | 2017-07-19 |
| Find all providers in zip 46723 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508082272 | Richard Edward Zollinger | Dentist | 230 E Whitley St # 265, Churubusco, IN 46723-1506 | 2007-04-18 |
| 1699792622 | Dionne Justine Hladin | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2006-07-16 |
| 1558710939 | Emily Berning Johnson | Dentist | 230 E Whitley St, Churubusco, IN 46723-1506 | 2016-06-07 |
| 1447372362 | Todd Kleinrichert | Dentist | 210 W Whitley St, Churubusco, IN 46723-1720 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615796 | Himabindu Gogeneni | Dentist | 3575 Portage Ave Ste A, South Bend, IN 46628-6092 | 2020-10-06 |
| 1770193591 | Urgent Dental Center Sw LLC | Dentist | 2907 Kentucky Ave Ste A, Indianapolis, IN 46221-2103 | 2020-08-06 |
| 1134737026 | Gelsy Calvo Hernandez | Dentist | 1519 Us Highway 41 Ste B8, Schererville, IN 46375-1373 | 2020-07-17 |
| 1508483611 | Monica Vance | Dentist | 1711 S State Road 135 Ste B, Greenwood, IN 46143-6481 | 2020-07-06 |
| 1265059828 | Yuen Ting Chan | Dentist | 5240 Franklin St, Michigan City, IN 46360-7372 | 2020-06-30 |
| 1962028829 | Knobs Damily Dental, LLC | Dentist | 3684 Us-150 #9, Floyds Knobs, IN 47119 | 2020-06-17 |
| 1962026948 | Maria Contreras Mantilla | Dentist | 1320 W Bloomfield Rd, Bloomington, IN 47403-2001 | 2020-06-04 |
| 1801410931 | Briana Michelle Maddox | Dentist | 35 S Creasy Ln Ste 3, Lafayette, IN 47905-5254 | 2020-06-04 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1861027732 | Kendall Thomas Sands | Dentist | 508 Indiana Ave # 3106, Indianapolis, IN 46202-3106 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
| City | CHURUBUSCO |
| Zip Code | 46723 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.