Clement B Woodard DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3744 Issued in NC

Legal business name

CLEMENT B WOODARD DDS PA

Practice address

2401 Wooten Blvd SW
Suite a
Wilson, NC 27893-4464

Phone

(252) 291-7510

Fax

(252) 291-7531

NPI assigned

Jun 21, 2006

Last updated

Nov 8, 2007By 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

Dr. Clement Benson Woodard, DDS

Title

Owner

Phone

(252) 291-7510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1952347437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-7510",
            "fax_number": "252-291-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW",
            "address_2": "SUITE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-7510",
            "fax_number": "252-291-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENT B WOODARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "BENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-291-7510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "3744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Joseph Clark III, M.D.
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• Natalie Tamara Clarke, PMHNP
• Terry Claycomb, DPM
• Clearscreen, LLC
• Susan Janet Clifton, LCSW
• CNC / Access Inc.
• CNC / Access Inc.
• CNC Access, Inc.
• CNC/Access, Inc.

• Dental Clinic/Center in Wilson, NC
• Providers in Wilson, NC by specialty
• Dental Clinic/Center in North Carolina

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