Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILLARD DEAN RUSSELL JR., DDS
ActiveDR. WILLARD DEAN RUSSELL JR., DDS is a Oral & Maxillofacial Surgery healthcare provider located in MARTINSBURG, West Virginia. NPI 1215010285 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · MARTINSBURG, WV
Registration Details
- NPI Number
- 1215010285
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2006 (19.621983343345 yrs)
- Last Updated
- May 30, 2012
- Licenses
-
2483 (WV)6261 (MD)DS030508L (PA)
Practice Information
- Address
-
1007 SUSHRUTA DRIVEMARTINSBURG, WV, 25401Browse WV providers · Browse ZIP 25401
- Phone
- 3042630991
- Fax
- 3042749546
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in MARTINSBURG, WV
| Name | Credential | NPI |
|---|---|---|
| DR. NAHLA CHAUDHARY | — | 1255544748 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.