Woodhaven Ultimate Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOODHAVEN ULTIMATE DENTAL PLLC

Practice address

1 Woodhaven Mall Ste 106
Bensalem, PA 19020-5609

Phone

(215) 245-5335

NPI assigned

Sep 12, 2019

Last updated

Dec 21, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas Greenfield

Title

Compliance Officer

Phone

(215) 422-3647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576886400000",
    "number": "1730739608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODHAVEN MALL STE 106",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205609",
            "telephone_number": "215-245-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODHAVEN MALL STE 106",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190205609",
            "telephone_number": "215-245-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN ULTIMATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-12-21",
        "certification_date": "2019-12-21",
        "status": "A",
        "authorized_official_last_name": "GREENFIELD",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "215-422-3647",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wood River Property LLC
• Camryn Wood
• Patricia Catherine Wood, RN,MSN,CRNP-BC
• Woodhaven Dental Associates
• Woodhaven Dialysis Center LLC
• Work Hardening Services, LTD.
• Paige Wyszynski
• Imelda Xoxe
• Guozhi Xu
• Yakubov Life Therapy, PLLC (Heal Your Roots Wellness)

• Dentist in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2019; 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.