Woodard Duffey Foutch, D.D.S.
Individual provider Active NPI General Practice Dentistry · Rutledge, TN
NPI 1831286640 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831286640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS2631 (TN)
- Practice address
- 7786 Rutledge Pike
Rutledge, TN 37861 - Phone
- (865) 828-5281
- Fax
- (865) 828-4733
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| DS2631 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS2631 | TN | Yes |
Addresses
Primary practice location
7786 Rutledge Pike
Rutledge, TN 37861
Mailing address
PO Box 22
Rutledge, TN 37861-0022
Phone (865) 828-5281
Other providers in Rutledge, TN
- Cherokee Health Systems
- Cherokee Health Systems
- County of Grainger
- Dennis H. Duck
- Dennis Howard Duck
- Golden Care LLC
- Grainger County Board of Education
- Susan Fay Hodge
- Mark E. Holland
- Horizon Healthcare Services PLLC
All providers in Rutledge, TN · General Practice Dentistry in Tennessee
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.