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WOODRUFF FAMILY DENTISTRY NPI 1710069182


NPI Information

NPI: 1710069182
Provider Name: WOODRUFF FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 42D0918285

Address:
601 E GEORGIA ST
WOODRUFF, SC
ZIP 29388
Phone: (864) 476-8315
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WOODRUFF FAMILY DENTISTRY is a general practice dentist in Woodruff, SC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. WOODRUFF FAMILY DENTISTRY NPI is 1710069182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 E GEORGIA ST
WOODRUFF, SC
ZIP 29388-953
Phone: (864) 476-8315

The provider's authorized official is Charles R. Morris .
The authorized official title is Ceo and has the following contact phone number (864) 476-8315.

The CLIA number assigned to this NPI record is 42D0918285 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeSOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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