Jacob Paul Woods, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25351 Issued in FL

Practice address

2929 Kerry Forest Pkwy
Tallahassee, FL 32309-6825

Phone

(850) 893-8988

NPI assigned

Aug 11, 2020

Sex

Male

Sole proprietor

Yes

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1417568627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 MCLEOD DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323037186",
            "telephone_number": "850-545-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-893-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "JACOB",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "25351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Arthur Woodruff, D.M.D.
• Sandra Lorraine Woodruff, R.D, L.D.
• Abigail Page Woods, M.A. BCBA
• Amanda Valerie Woods I, L.M.T.
• Haylee Woods
• Sarah Marie Woods, ATR-P
• Tiffany Woods
• Zachary Desmond Woods, AGNP-C
• Jeffrey D. Woodworth, D.M.D.
• Oba Woodyard

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.