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General NPI Number Information
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NPI Number | 1952424665
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Entity Type | Organization
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Legal Business Name | ROBERT D. WOODS DDS, PC
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4190 OLD MILTON PKWY STE 2-G
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City | ALPHARETTA
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State | GA
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Zip | 30005-6459
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Country | US
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Telephone | 770-551-0808
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Fax | 770-395-0534
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Provider Business Mailing Address
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Address Line | 4190 OLD MILTON PKWY STE 2-G
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City | ALPHARETTA
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State | GA
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Zip | 30005-6459
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Country | US
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Telephone | 770-551-0808
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT DEWAYNE WOODS
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Credential | DDS
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Telephone | 770-551-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN010466
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License Number State | GA
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