Search › Wisconsin › 122300000X
Russell Grimm, D.D.S
NPI 1508085481 · on the registry since 2007
Practice
- Address
- 749 University Row
Madison, WI 53705 - Phone
- (608) 238-7112
- Fax
- (608) 238-1061
- Organisation at this address
- Associated Dentists
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 292
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin