Carol A Wooden, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN009609 Issued in GA

Practice address

1300 Church St SE
Smyrna, GA 30080-3563

Phone

(770) 438-2400

Fax

(770) 432-5050

NPI assigned

Jul 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598788317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CHURCH ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803563",
            "telephone_number": "770-438-2400",
            "fax_number": "770-432-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CHURCH ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803563",
            "telephone_number": "770-438-2400",
            "fax_number": "770-432-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODEN",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN009609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Wolak, ANP-BC
• Morgan R Womack, FNP-C
• James H Wood, MD
• Wood's Psychological Services, Inc
• Shelby Woodall
• Zachary Woodworth
• Shannon Would
• Carla Wright, LPC
• Shaniqua A Wright, D.C.
• Nina Wyatt, MD

• General Practice Dentistry in Smyrna, GA
• Providers in Smyrna, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.