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NPI Code Detail

MEDICARE: TROY WOODWARD DMD

MEDICARE:   TROY  WOODWARD  DMD
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 DentistryDN123193GA

General Provider Information

NPI Number : 1417638776
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY WOODWARD DMD
Provider Business Mailing Address
First Line : 901 E 66TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4509
Country : US
Telephone Number : 912-303-8080
Fax Number :
Provider Business Practice Location Address
First Line : 901 E 66TH ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31405-4509
Country : US
Telephone Number : 912-303-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2023
Last Update Date : 07/28/2023

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Directions to “ TROY WOODWARD DMD” Practice Location

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