Dr. Willard Dean Russell Jr.
DDS | Oral and Maxillofacial Surgeon
1007 Sushruta Drive, Martinsburg
West Virginia, 25401
304-263-0991 304-274-9546
Maps & DirectionsDr. Willard Dean Russell Jr. is a Martinsburg, West Virginia based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Willard Dean Russell Jr. is
2483 for Oral and Maxillofacial Surgery in West Virginia. His current practice location is
1007 Sushruta Drive, Martinsburg. Patients can reach him at
304-263-0991.
Dr. Willard Dean Russell Jr. deals with 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.
Complete Profile:
Dr. Willard Dean Russell Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Willard Dean Russell Jr. |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1007 Sushruta Drive, Martinsburg,
West Virginia, 25401 |
| Phone: | 304-263-0991 |
| Fax: | 304-274-9546 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1215010285 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 30 May, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Willard Dean Russell Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 2483 | Oral and Maxillofacial Surgery | West Virginia | Primary | |
| 6261 | Oral and Maxillofacial Surgery | Maryland | Secondary | |
| DS030508L | Oral and Maxillofacial Surgery | Pennsylvania | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Willard Dean Russell Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 066637 | Other | | TRIGON |
| 0136408000 | Medicaid | West Virginia | |
| DF52 | Other | Maryland | BCBS MD |
| LK72 | Other | Maryland | DENTAL/MEDICAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1007 Sushruta Drive,
Martinsburg, West Virginia |
| Zip: | 25401 |
| Phone Number: | 304-263-0991 |
| Fax Number: | 304-274-9546 |
Patients can reach Dr. Willard Dean Russell Jr. at
1007 Sushruta Drive, Martinsburg, West Virginia or can
call to book an appointment on 304-263-0991.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.