Michael C Woods DMD PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

10868 Issued in NC

Legal business name

MICHAEL C WOODS DMD PLLC

Doing business as

Simply Southern Smiles

Practice address

1601 Davie Ave
Statesville, NC 28677-3519

Phone

(704) 872-7604

NPI assigned

Apr 24, 2018

Organization subpart

No

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

Authorized official

Name

Michael Connely Woods, DMD MS

Title

Orthdontist/Owner

Phone

(704) 872-7604

Specialties & licenses 1

Addresses

Other names 1

• Simply Southern Smiles Doing business as

Locations

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1750879896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773519",
            "telephone_number": "704-872-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 DAVIE AVE",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773519",
            "telephone_number": "704-872-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C WOODS DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONNELY",
        "authorized_official_title_or_position": "ORTHDONTIST/OWNER",
        "authorized_official_telephone_number": "704-872-7604",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "10868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simply Southern Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Provider Services LLC
• John T Mertz, MD
• Iliana Meza Pineda
• Sabah Mian, O.D.
• Michael a. Kepley, M.D. P.a.
• Michael J Piazza PLLC
• Paul Matthew Michaud, MD
• Marina Mickael
• Ronald W Milam, O.D.
• Mill Creek Manor, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.