Todd Garrett Woollen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9651 Issued in SC

Practice address

272 Cedar Springs Rd
Spartanburg, SC 29302-4643

Phone

(864) 583-6333

NPI assigned

Jun 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1316563133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 MOORE DAIRY RD",
            "city": "MOORE",
            "state": "SC",
            "postal_code": "293699681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 CEDAR SPRINGS RD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293024643",
            "telephone_number": "864-583-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEN",
        "first_name": "TODD",
        "middle_name": "GARRETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Woods, LISW-CP
• Monique Woods, RN
• Duveen Woolbright, FNP
• Claude D Woollen, MD
• Montana Housand Woollen, DMD
• Kristin H. Word, PA
• Mitchell Worley, M.D.
• Chakira Anthani Worthy, B.S.
• Woven Wellness PLLC
• John David Wren, MD

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.