IndividualActive
Russell Klein, DMD
NPI 1639397128 · General Practice Dentistry · Carbondale, IL
Russell Klein, DMD is a General Practice Dentistry provider in Carbondale, IL (NPI 1639397128).
Provider details
- NPI number
- 1639397128
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 016106 (MO)
Practice location
374 E Grand Ave
Student Health Center Sivc
Carbondale, IL 62901
Phone: (618) 536-2421
Fax: (618) 453-3477
Approximate (ZIP-level) locationGet directions
Mailing address
910 Iris Lane
Du Quoin, IL 62832
Registry dates
- Enumerated
- 2007-04-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.