MEDICARE: DR. MARGARET MCKENZIE RAYMOND WOODARD 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
1	122300000X	Dentist	DGD.8200	SC
2	122300000X	Dentist	0401413208	VA
3	1223G0001X	General Practice Dentistry	0401413208	VA

General Provider Information

NPI Number	:	1952696932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET MCKENZIE RAYMOND WOODARD DDS

Provider Business Mailing Address
First Line	:	12 ALBEMARLE AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23226-1612
Country	:	US
Telephone Number	:	804-387-7108
Fax Number	:	843-871-0453

Provider Business Practice Location Address
First Line	:	8120 PLEASANT GROVE RD
Second Line	:
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-2343
Country	:	US
Telephone Number	:	804-915-1440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2011
Last Update Date	:	05/19/2024

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