NPIMap

Organization Active NPI

H. Steve Woodall, D.D.S., P.C.

  • General Practice Dentistry
  • Villa Rica, GA
National Provider Identifier
1831221712
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008240 Issued in GA
Legal business name
H. STEVE WOODALL, D.D.S., P.C.
Practice address
512 W Bankhead Hwy
Villa Rica, GA 30180-1703
Phone
(770) 459-5197
Fax
(770) 459-5146
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Harold Steve Woodall, D.D.S.NPI 1780719559
Title
Dentist
Phone
(770) 459-5197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN008240 GA Primary

Addresses

Primary practice location

512 W Bankhead Hwy
Villa Rica, GA 30180-1703

Mailing address

PO Box 516
Villa Rica, GA 30180-0516
Phone (770) 459-5197

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831221712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301800516",
            "telephone_number": "770-459-5197",
            "fax_number": "770-459-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W BANKHEAD HWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801703",
            "telephone_number": "770-459-5197",
            "fax_number": "770-459-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. STEVE WOODALL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOODALL",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "770-459-5197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.