Doctor profile · Federal record
Dr. Grant Russell, DMD
General Practice Dentistry · Godfrey, IL
- NPI 1366129223
- 3 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1203 W Delmar Ave
Godfrey, IL 620351739
(618) 466-3140 - Mailing address
-
1859 Evergreen Ave
Alton, IL 620024753
Credentials & registration
- NPI registered
- July 2023 — 3 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Illinois #019.034468
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366129223. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$28
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $17.68 | |
| Align Technology, INC. | 1 | $10.01 |
By nature of payment
Frequently asked questions
What is Dr. Grant Russell's medical specialty?
Dr. Grant Russell practices General Practice Dentistry in Godfrey, IL.
Where does Dr. Grant Russell practice?
Dr. Grant Russell practices at 1203 W Delmar Ave, Godfrey, IL 620351739. Office phone: 6184663140.
What is Dr. Grant Russell's NPI?
Dr. Grant Russell's National Provider Identifier (NPI) is 1366129223, issued by NPPES.