Willard Dean Russell in Martinsburg - Oral And Maxillofacial Surgery
Willard Dean Russell - NPI 1215010285
Willard Dean Russell is a Oral And Maxillofacial Surgery in Martinsburg, . Willard Dean Russell practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Willard Dean Russell is 1215010285. The last update date is 2012-05-30.
Willard Dean Russell's current location address is 1007 Sushruta Drive, Martinsburg, . You can contact this provider via phone number 3042630991 and fax number 3042749546. The mailing address for Willard Dean Russell is 1007 Sushruta Drive, Martinsburg, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Willard Dean Russell |
|---|---|
| Address | 1007 Sushruta Drive, Martinsburg, |
| Phone Number | 3042630991 |
| Fax Number | 3042749546 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215010285 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2012-05-30 |
Provider Mailing Address Detail
| Address | 1007 Sushruta Drive |
|---|---|
| City | Martinsburg |
| State | (WV) |
| Post Code | 25401 |
| Phone Number | 3042630991 |
| Fax Number | 3042749546 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 2483 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 66637 | TRIGON | ||
| 136408000 | WV | -- | |
| DF52 | MD | BCBS MD | |
| LK72 | MD | DENTAL/MEDICAL |
Post Comment/ Review Below
What is the Willard Dean Russell's 1215010285?
The Willard Dean Russell's NPI (National Provider Identifier) Number is 1215010285. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Willard Dean Russell is geographically located?
The Willard Dean Russell is physically situated at the following location: 1007 Sushruta Drive, Martinsburg, WV, 25401.
What is Willard Dean Russell's area of expertise and its corresponding taxonomy classification?
The Willard Dean Russell's field of specialization is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their areas of practice.
When was the Willard Dean Russell's 1215010285 issued?
The Willard Dean Russell's 1215010285 was issued on 2006-10-23.
As of what date were the Willard Dean Russell's details last updated?
The information pertaining to the Willard Dean Russell, including its address, specialty, and other details, was most recently updated on 2012-05-30.
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