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NPI Code Detail

MEDICARE: DR. PATRICK ARTHUR WOODS DDS

MEDICARE: DR. PATRICK ARTHUR WOODS 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 Dentistry4730OK

General Provider Information

NPI Number : 1346297884
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK ARTHUR WOODS DDS
Provider Business Mailing Address
First Line : 2812 W HEFNER RD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-6318
Country : US
Telephone Number : 405-751-0358
Fax Number : 405-755-4625
Provider Business Practice Location Address
First Line : 1201 N STONEWALL AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73117-1214
Country : US
Telephone Number : 405-271-8001
Fax Number : 405-271-3006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 10/30/2019

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