Provider Demographics
NPI:1407978265
Name:WOODS, ROBERT DEWAYNE (DDS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DEWAYNE
Last Name:WOODS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N POINT PKWY STE 175
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5482
Mailing Address - Country:US
Mailing Address - Phone:770-551-0808
Mailing Address - Fax:
Practice Address - Street 1:950 N POINT PKWY STE 175
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5482
Practice Address - Country:US
Practice Address - Phone:770-551-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0104661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice