Woodruff Smiles Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOODRUFF SMILES DENTISTRY, PC

Doing business as

Woodruff Smiles Dentistry

Practice address

1106 Woodruff Rd Ste a
Greenville, SC 29607-4109

Phone

(864) 742-0620

NPI assigned

Sep 27, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Ali Shahrestani

Title

DMD

Phone

(864) 751-0620

Specialties & licenses 1

Addresses

Other names 1

• Woodruff Smiles Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Fox, DDS

  • General Practice Dentistry
  • Greenville, SC
  • NPI 1154889798
  NPD

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1295386597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 WOODRUFF RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074109",
            "telephone_number": "864-742-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF SMILES DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "SHAHRESTANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "864-751-0620",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodruff Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodruff Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miesty Woodburn, M.D.
• Ana Woodfield
• Sara Taylor Wooding, CRNA
• Woodlands Medical Clinic PA
• Woodlands Treatment Center, LLC
• Amber Woodruff, RBT
• Courtney Marianne Woodruff, LPC
• Jaime Woodruff, LPCA
• Tarraz Woodruff, RN
• Aleta Marcel Woods, MS, MED, BCBA, PSYD

• Dentist in Greenville, SC
• Providers in Greenville, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.