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NPI 1639390826 · live from the CMS NPI Registry

Dr. Thomas Woodard P.A.

Dentist, Orthodontics and Dentofacial Orthopedics in Charlotte, NC. National Provider Identifier 1639390826, active.

NPI record

NPI1639390826 Type 2 · organization
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location8220 University Exec Park Dr, Suite 150, Charlotte, NC 28262
Practice phone704-548-1653
EnumeratedMay 2, 2007
Last updatedJuly 23, 2008
Authorized officialThomas Woodard, Orthodonist

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X4421 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.