Curtis J Woodfield, DDS
Individual provider Active NPI Dentist · Gobles, MI
NPI 1609804244 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1609804244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11491 (MI)
- Practice address
- 13910 M 40
Gobles, MI 49055-8699 - Phone
- (269) 628-2186
- Fax
- (269) 628-2186
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11491 | MI | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11491 | MI | Yes |
Addresses
Primary practice location
13910 M 40
Gobles, MI 49055-8699
Mailing address
13910 M 40
Gobles, MI 49055-8699
Phone (269) 628-2186
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517289 | Medicaid | MI | |
| J1149103 | Other | MI | BLUE CROSS |
Other providers in Gobles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.