McKenzie Raymond Woodard, DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8200 Issued in SC

Legal business name

MCKENZIE RAYMOND WOODARD, DDS LLC

Doing business as

Wentworth Street Dental Associates

Practice address

159 Wentworth St
Charleston, SC 29401-1731

Phone

(843) 577-2898

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Margaret McKenzie Raymond Woodard, DDS

Title

Manager

Phone

(804) 387-7108

Specialties & licenses 1

Addresses

Other names 1

• Wentworth Street Dental Associates Doing business as

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1386074490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BUCKSLEY LN UNIT 207",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928182",
            "telephone_number": "804-387-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 WENTWORTH ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011731",
            "telephone_number": "843-577-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE RAYMOND WOODARD, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "MCKENZIE RAYMOND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-387-7108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wentworth Street Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela McInvale, MA, LMFT
• Connor McKay, PHARMD
• Sarah Ann McKee, DNP
• Dennis J McKenna, CRNA
• Stephanie McKenna
• Kelly McKenzie, RD,CSG, LD
• Sandi L McKenzie, MD
• Jordyn McKeone, LMSW
• Angela Sczypta McKeta, PA-C
• Keegan McKim, DO

• General Practice Dentistry in Charleston, SC
• Providers in Charleston, 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 Nov 26, 2013; 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.