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Active NPI 1639397128 Individual Practitioner Male Practitioner

Dr. Russell Edward Klein , DMD

Dentist - General Practice • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Dr. Russell Klein, DMD is a registered healthcare professional specializing in Dentist - General Practice in Carbondale, IL. Practice services are available at 374 E GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

374 E Grand Ave
Student Health Center Sivc

Carbondale, IL 62901

Telephone 6185362421
Fax 6184533477
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Carbondale, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License MO 016106

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Kendall Wachter , DMD

Dentist - General Practice

NPI 1629293709

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 374 E GRAND AVE, STUDENT HEALTH CENTER SIVC, CARBONDALE, IL 62901 (Tel: 6185362421)

📍
Updated Business Mailing Address July 08, 2007

Registered at 910 IRIS LANE, DU QUOIN, IL 62832 (Tel: 6185422797)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RUSSELL KLEIN, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #016106 in MO)

🟢
Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639397128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

910 Iris Lane

Du Quoin, IL 62832

Phone: 6185422797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.