Search › West Virginia › Oral and Maxillofacial Surgery (Dentist)
Willard Russell, DDS
NPI 1215010285 · on the registry since 2006
Practice
- Address
- 1007 Sushruta Drive
Martinsburg, WV 25401 - Phone
- (304) 263-0991
- Fax
- (304) 274-9546
- Organisation at this address
- Associated Oral & Maxillofacial Surgeons, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Also registered as
- Oral and Maxillofacial Surgery (Dentist)
Oral and Maxillofacial Surgery (Dentist) - Licence states on file
- WV, MD, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-30
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 West Virginia