MEDICARE: DONALD 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
1	1223G0001X	General Practice Dentistry	5277	TN

General Provider Information

NPI Number	:	1992912521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONALD WOODS DDS

Provider Business Mailing Address
First Line	:	3441 LEBANON PIKE STE 105
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2000
Country	:	US
Telephone Number	:	615-719-7883
Fax Number	:	615-859-1630

Provider Business Practice Location Address
First Line	:	3441 LEBANON PIKE STE 105
Second Line	:
City	:	HERMITAGE
State	:	TN
Zip	:	37076-2000
Country	:	US
Telephone Number	:	615-719-7883
Fax Number	:	615-859-1630

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	01/26/2026

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