Russell L Griffing, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011215A Issued in IN

Practice address

165 W University Dr
Mishawaka, IN 46545-1199

Phone

(574) 271-1060

Fax

(270) 781-9093

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Affordable Dentures - South Bend, P.C.

  • Dentist
  • Mishawaka, IN
  • NPI 1477793123
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1215092846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 SPRING LAKE BLVD APT 101",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304910",
            "telephone_number": "615-430-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W UNIVERSITY DR",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451199",
            "telephone_number": "574-271-1060",
            "fax_number": "270-781-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFING",
        "first_name": "RUSSELL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011215A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annemarie Catherine Gray, BCBA
• Christie Gray
• Candice Marie Greathouse
• Silas Greathouse
• Ashley Griffin
• Andrew Ray Griffith
• Carly Grmek, PHARMD
• Rebecca Groner
• Kali Gross
• Jason R Grove, DPM

• General Practice Dentistry in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.