Gary Eugene Woznicki, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

16293 Issued in OH

Practice address

26300 Euclid Ave
Suite 424
Euclid, OH 44132-3708

Phone

(216) 731-7555

Fax

(216) 731-5503

NPI assigned

Nov 3, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689753451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE",
            "address_2": "SUITE 424",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323708",
            "telephone_number": "216-731-7555",
            "fax_number": "216-731-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVE",
            "address_2": "SUITE 424",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323708",
            "telephone_number": "216-731-7555",
            "fax_number": "216-731-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNICKI",
        "first_name": "GARY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OH",
            "license": "16293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Takisha Woods
• Kenya K Wordlaw
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• Camryn Wright
• Cora Mae Wright, RN
• Katya Nyrausha Wright, LPN
• Octavia A Wright
• Rapunzel Laquette Wright, S.T.N.A.

• Periodontics in Euclid, OH
• Providers in Euclid, OH by specialty
• Periodontics in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.