Woodlawn Lake Dental Partners PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WOODLAWN LAKE DENTAL PARTNERS PLLC

Practice address

1707 Williams
San Antonio, TX 78201

Phone

(210) 390-6115

NPI assigned

Jul 31, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Whitney Wright, DDS

Title

Officer

Phone

(480) 339-4800

Specialties & licenses 1

Addresses

Other names 1

• Risas Dental and Braces Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1043864648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122750",
            "telephone_number": "602-427-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 WILLIAMS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78201",
            "telephone_number": "210-390-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN LAKE DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "480-339-4800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Risas Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Risas Dental and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tabia Woodard, RBT
• Christian Woodbury, M.D.
• Gerald William Woodford Jr., LPC
• Jenna Woodland
• Shawn Timothy Woodland, MOT, OTR
• Woodlawn RSVH PLLC
• Martha Woodley
• Charles P. Woodrick
• Christopher Ryan Woodruff, PHARM.D.
• Edward Joseph Woodruff II, PHARM.D

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.