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Deactivated NPI 1740458017 Deactivated / Inactive NPI Male Practitioner

Dr. Cannutte N Russell , DDS

Dentist - General Practice • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Cannutte Russell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2008
NPI Deactivation Date May 22, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Cannutte Russell, DDS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 17 years, Dr. Russell provided care at the practice location at 5050 SOUTH STATE until profile deactivation on 2025-05-22.

Practice Location & Contact Primary Location

Practice Address

5050 South State
Suite 213

Chicago, IL 60440

Telephone 7735364729
Fax 7735362525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% 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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Alfreda Beard , DDS

Dentist - General Practice

NPI 1164691630

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 22, 2025

Record deactivated on May 22, 2025

NPI Profile Active February 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2008

Registered at 5050 SOUTH STATE, SUITE 213, CHICAGO, IL 60440 (Tel: 7735364729)

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Updated Business Mailing Address February 20, 2008

Registered at 5050 SOUTH STATE, SUITE 213, CHICAGO, IL 60609 (Tel: 7735364729)

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Provider Name / Credentials Updated February 20, 2008

Recorded as CANNUTTE RUSSELL, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Dentist

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Initial NPI Registration & Enumeration February 20, 2008

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: 1740458017
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2008
Last Update: February 20, 2008
Deactivation Date: May 22, 2025

Mailing Address

5050 South State, Suite 213

Chicago, IL 60609

Phone: 7735364729

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.