Kenneth C Woods, DMD
Individual provider Active NPI Dentist · New Wilmington, PA
NPI 1629165261 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629165261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS026268L (PA)
- Practice address
- 212 W Vine Street
New Wilmington, PA 16142 - Phone
- (724) 946-3534
- Fax
- (724) 946-2144
- NPI assigned
- Oct 6, 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS026268L | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS026268L | PA | Yes |
Addresses
Primary practice location
212 W Vine Street
New Wilmington, PA 16142
Mailing address
212 W Vine Street
New Wilmington, PA 16142
Phone (724) 946-3534
Other providers in New Wilmington, PA
- Daelyn Marie Williams
- Wilmington Area School District
- Wilmington Psychiatric & Counseling
- Wilmington Psychiatric & Counseling, Inc.
- Wilmington Psychiatric and Counseling
- Margaret Zachewicz
All providers in New Wilmington, PA · Dentist in Pennsylvania
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.