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NPI 1215010285

IndividualActive

Willard Russell, DDS

NPI 1215010285 · Oral and Maxillofacial Surgery (Dentist) · Martinsburg, WV

Provider details

NPI number: 1215010285
Entity type: Individual
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 2483 (WV)

Practice location

1007 Sushruta Drive

Martinsburg, WV 25401

Phone: (304) 263-0991

Fax: (304) 274-9546

More WV providers

Mailing address

1007 Sushruta Drive

Martinsburg, WV 25401

Registry dates

Enumerated: 2006-10-23
Last updated: 2012-05-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Willard Russell, DDS — NPI 1215010285, Martinsburg, WV | NPI Central