Healthcare Provider Details

I. General information

NPI: 1831026947
Provider Name (Legal Business Name): SHAUNA R WOODY DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 EAST HARDEN ST SUITE 111
GRAHAM NC
27253
US

IV. Provider business mailing address

221 DOGWOOD BLOOM LN
HILLSBOROUGH NC
27278-9095
US

V. Phone/Fax

Practice location:
  • Phone: 336-290-6787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SHAUNA WOODY
Title or Position: PEDIATRIC DENTIST
Credential: DDS
Phone: 336-290-6787