DR. RUSSELL SCOTT WARREN DDS M.D. NPI 1386822237

NPI Information

  • NPI: 1386822237
  • Provider Name: DR. RUSSELL SCOTT WARREN, DDS, M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 45D2055860
  • Address: 103 BURNETT CT
    WOODWAY, TX
    ZIP 76712
  • Phone: (254) 399-9925

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NPI Details

DR. Russell Scott Warren, DDS, M.D. is an oral and maxillofacial surgery dentist in Woodway, TX. The provider is 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. DR. Russell Scott Warren, DDS, M.D. NPI is 1386822237. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

103 BURNETT CT
WOODWAY, TX
ZIP 76712-100
Phone: (254) 399-9925
Fax: (254) 399-9930

The NPI 1386822237 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 45D2055860 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2008 and was last updated on 9/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial SurgeryM9730TEXASNo
21223S0112XDentistOral and Maxillofacial Surgery20878TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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