IndividualActive
Charles Russell, MD
NPI 1245220912 · Addiction Medicine (Preventive Medicine) Physician · Dayton, OH
Provider details
- NPI number
- 1245220912
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35050063 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2611 Wayne Ave
Dayton, OH 45420-1833
Phone: (937) 256-7801
Fax: (937) 641-8517
Approximate (ZIP-level) locationGet directions
Mailing address
3195 Dayton Xenia Rd # 900-162
Beavercreek, OH 45434-6390
Registry dates
- Enumerated
- 2005-10-25
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.