Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.