Provider Demographics
NPI:1215287206
Name:KAREN L WOODARD D.M.D
Entity type:Organization
Organization Name:KAREN L WOODARD D.M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WOODARD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-333-3099
Mailing Address - Street 1:13576 HIGHWAY 43 N
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35475-4410
Mailing Address - Country:US
Mailing Address - Phone:205-333-3099
Mailing Address - Fax:205-333-9191
Practice Address - Street 1:13576 HIGHWAY 43 N
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:AL
Practice Address - Zip Code:35475-4410
Practice Address - Country:US
Practice Address - Phone:205-333-3099
Practice Address - Fax:205-333-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3562122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty