Individual provider · Type 1 NPI
Willard Dean Russell Jr., DDS
Oral and Maxillofacial Surgery (Dentist) · Martinsburg, WV
NPI number
1215010285
Active
Practice location
1007 Sushruta Drive
Martinsburg, WV 25401
Fax (304) 274-9546
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2483 (WV) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6261 (MD) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS030508L (PA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Martinsburg
About NPI 1215010285
Willard Dean Russell Jr., DDS's National Provider Identifier is 1215010285, issued on Oct 23, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Martinsburg, WV. The record was last updated on May 30, 2012.