Provider Demographics
NPI:1316114960
Name:WOODS ORTHODONTICS, P.C.
Entity type:Organization
Organization Name:WOODS ORTHODONTICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-888-6222
Mailing Address - Street 1:441 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2340
Mailing Address - Country:US
Mailing Address - Phone:508-888-6222
Mailing Address - Fax:508-888-9696
Practice Address - Street 1:441 ROUTE 130
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-2340
Practice Address - Country:US
Practice Address - Phone:508-888-6222
Practice Address - Fax:508-888-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA141031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty