# ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Drs. Russell, Pike, & Nelson, PC, Drs. Russell, Pike & Nelson, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346310505
- **Authorized official:** PAMELA PHILLIPS (OFFICE MANAGER)
- **Authorized official phone:** (304) 263-0991

## Contact information

- **Practice address:** 1007 SUSHRUTA DRIVE, MARTINSBURG, WV 25401
- **Practice address phone:** (304) 263-0991
- **Practice address fax:** (304) 274-9546
- **Mailing address:** 1007 SUSHRUTA DRIVE, MARTINSBURG, WV 25401
- **Mailing address phone:** (304) 263-0991
- **Mailing address fax:** (304) 274-9546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 02/21/2023