| Woodward Family Dentistry | |
|
1222 Main Ave Woodward OK 73801 | |
| (580) 256-2600 | |
| (580) 256-2671 |
| Full Name | Woodward Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 1222 Main Ave, Woodward, Oklahoma |
| Authorized Official Name and Position | Phillip W Powell (OWNER) |
| Authorized Official Contact | 5802562600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodward Family Dentistry 1222 Main Ave Woodward OK 73801 Ph: (580) 256-2600 | Woodward Family Dentistry 1222 Main Ave Woodward OK 73801 Ph: (580) 256-2600 |
| NPI Number | 1437310067 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437310067 | NPI | - | NPPES |
| 100130660A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4793 (Oklahoma) | Primary |
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› Verified 9 days ago
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