Woolery Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019026188 Issued in IL

Legal business name

WOOLERY DENTAL P.C.

Practice address

5301 E State St Ste 306
Rockford, IL 61108-2390

Phone

(815) 399-2542

Fax

(815) 399-4716

NPI assigned

Jan 23, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer K Woolery, DMDNPI 1295951028

Title

Dentist/Owner

Phone

(815) 399-2542

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jennifer Kay Woolery, D.M.D.

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1295951028
  NPD (past) Authorized official
• John Andrew O'Brien, DDS

  • General Practice Dentistry
  • Rockford, IL
  • NPI 1629120209
  NPD (past)

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

{
    "created_epoch": "1453507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1295192144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 E STATE ST STE 306",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082390",
            "telephone_number": "815-399-2542",
            "fax_number": "815-399-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E STATE ST STE 306",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082390",
            "telephone_number": "815-399-2542",
            "fax_number": "815-399-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLERY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-23",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "WOOLERY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "815-399-2542",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Woods, DDS
• Patricia Lynn Woodward, P.T.A.
• Sarah Woodward
• Wooldridge Optometry LLC
• James A Wooldridge
• Jennifer Kay Woolery, D.M.D.
• Christopher Workman, AUD
• Suzanne R Workman, OTR
• Mackenzie T Worthington, DO
• David L Wright, MD

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.