IndividualActive
Russell Gilliom, D.D.S.
NPI 1417172321 · Dentist · Churubusco, IN
Russell Gilliom, D.D.S. is a Dentist provider in Churubusco, IN (NPI 1417172321).
Provider details
- NPI number
- 1417172321
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 12007296 (IN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
230 E Whitley St
Churubusco, IN 46723-1506
Phone: (260) 693-2177
Fax: (260) 693-6422
Street-level locationGet directions
Mailing address
Po Box 265
Churubusco, IN 46723-0265
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2008-01-14
Frequently asked questions
- What is Russell Gilliom's NPI number?
- Russell Gilliom's National Provider Identifier (NPI) is 1417172321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Russell Gilliom's specialty?
- Russell Gilliom is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Russell Gilliom located?
- Russell Gilliom's practice location on file with NPPES is 230 E Whitley St, Churubusco, IN 46723-1506.
- What is Russell Gilliom's phone number?
- The practice phone number listed in the NPPES registry for Russell Gilliom is (260) 693-2177.
- Is Russell Gilliom's NPI active?
- Yes — Russell Gilliom's NPI (1417172321) is active in the NPPES registry as of the last update on 2008-01-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.