M L Wooldridge DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12923 Issued in TX

Legal business name

M L WOOLDRIDGE DDS PLLC

Practice address

101 W Olmos Dr
San Antonio, TX 78212-1955

Phone

(210) 824-7457

Fax

(210) 828-7243

NPI assigned

Dec 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael L. Wooldridge, DDSNPI 1780770198

Title

Sole Owner

Phone

(210) 824-7457

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael L. Wooldridge, D.D.S.

  • General Practice Dentistry
  • San Antonio, TX
  • NPI 1780770198
  NPD (past) Authorized official

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1114101961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W OLMOS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121955",
            "telephone_number": "210-824-7457",
            "fax_number": "210-828-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W OLMOS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121955",
            "telephone_number": "210-824-7457",
            "fax_number": "210-828-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M L WOOLDRIDGE DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "WOOLDRIDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "210-824-7457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 27, 2007; 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.