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General NPI Number Information
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NPI Number | 1871883140
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Entity Type | Individual
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Provider Name | DAVID K WOODS D.M.D
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 1063 W NORTHWEST BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27101-1104
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Country | US
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Telephone | 336-725-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 1063 W NORTHWEST BLVD
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City | WINSTON SALEM
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State | NC
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Zip | 27101-1104
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Country | US
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Telephone | 336-725-5757
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14861
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 14861
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License Number State | NC
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