MEDICARE: BRET WOODWARD DMD PLLC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1316885684
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRET WOODWARD DMD PLLC

Provider Business Mailing Address
First Line	:	8414 N WALL ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-6161
Country	:	US
Telephone Number	:	509-327-9533
Fax Number	:	509-324-7870

Provider Business Practice Location Address
First Line	:	8414 N WALL ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-6161
Country	:	US
Telephone Number	:	509-327-9533
Fax Number	:	509-324-7870

Authorized Official
Title or Position	:	OWNER
Name	:	BRET WOODWARD
Credential	:
Telephone Number	:	509-327-9533

Provider Enumeration Date	:	03/24/2026
Last Update Date	:	03/24/2026

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