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NPI Code Detail

MEDICARE: DR. THOMAS FRANKLIN WOODRUFF DDS

MEDICARE: DR. THOMAS FRANKLIN WOODRUFF DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD009858AZ
2122300000XDentist30016510OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205835956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS FRANKLIN WOODRUFF DDS
Provider Business Mailing Address
First Line : PO BOX 188
Second Line :
City : MARANA
State : AZ
Zip : 85653-0188
Country : US
Telephone Number : 520-682-4111
Fax Number : 520-818-3630
Provider Business Practice Location Address
First Line : 3690 S PARK AVE STE 805
Second Line :
City : TUCSON
State : AZ
Zip : 85713-5042
Country : US
Telephone Number : 520-616-6760
Fax Number : 520-616-6799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 03/28/2018

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