DR. WILLARD DEAN RUSSELL JR. DDS
NPI 1215010285
Dentist - Oral and Maxillofacial Surgery in Martinsburg, WV

Active since October 23, 2006
1007 SUSHRUTA DRIVE, MARTINSBURG, WV 25401(304) 263-0991(304) 274-9546 Get Directions Write a Review

NPPES record last updated: May 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Willard Dean Russell Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WILLARD DEAN RUSSELL JR. DDS (NPI 1215010285) is an individual oral and maxillofacial surgery provider in Martinsburg, West Virginia, licensed in West Virginia (2483) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1215010285
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WILLARD DEAN RUSSELL JR.Credential: DDS
Location Address1007 SUSHRUTA DRIVEMartinsburg, WV 25401
Mailing Address1007 Sushruta DriveMartinsburg, WV 25401 · (304) 263-0991 · Fax (304) 274-9546
Fax(304) 274-9546
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 30, 2012
NPI 1215010285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in WV · 2483 Licensed in MD · 6261 Licensed in PA · DS030508L
Definition
An oral and maxillofacial surgery dentist specialized in 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.
1007 SUSHRUTA DRIVE, Martinsburg, WV 25401

Other Identifiers 6

Medicaid0136408000WV
OtherDF52MD · Bcbs Md
OtherLK72MD · Dental/medical
Other066637Trigon
Medicare ID-Type UnspecifiedRU0505372WV
Medicare UPINT32335

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1007 SUSHRUTA DRIVE
MARTINSBURG, WV 25401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willard Russell's NPI number?

The NPI number for Willard Russell is 1215010285. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Willard Russell located?

Willard Russell practices at 1007 Sushruta Drive, Martinsburg, WV 25401. The listed phone number is (304) 263-0991.

What is Willard Russell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Willard Russell accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Willard Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willard Russell was last updated on May 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.