JOHN DAVID WOODRUFF (NPI# 1053405324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405324 |
| Entity Type | Individual |
| Full Name | JOHN DAVID WOODRUFF |
| Credential | D.D.S |
| Practice Address |
6003 Big Tree Rd Suite 6 Lakeville NY 14480-9720 |
| Mailing Address |
Po Box 80 Livonia NY 14487-0080 |
| Practice Telephone | 5853463028 |
| Practice Fax Number | 5853465024 |
| Mailing Telephone | 5853463028 |
| Mailing Fax Number | 5853465024 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
030910 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407430 | John Woodruff | Counselor | 206 S Kentucky St Ste 101, Mckinney, TX 75069-5439 | 2020-11-02 |
| 1063655769 | John Hiram Woodruff | Emergency Medicine | 1968 Peachtree Rd Nw, Atlanta, GA 30309 | 2009-04-09 |
| 1700809464 | John A Woodruff | Internal Medicine | 7100 W Center Rd, Omaha, NE 68106-2700 | 2006-07-25 |
| 1689609836 | John A Woodruff | Pharmacist | 1481 W 10th St, Va Medical Center, Indianapolis, IN 46202-2803 | 2006-07-12 |
| Street Address |
6003 BIG TREE RD SUITE 6 |
| City | LAKEVILLE |
| State | NY |
| Zip Code | 14480-9720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053320499 | Mark Charles Durkin | Podiatrist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-08-05 |
| 1700383072 | Sandra Kae Landon | Technician/Technologist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2018-04-12 |
| 1427555812 | Ardis Kelley | Technician/Technologist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2018-04-11 |
| 1821491887 | Ues Optical, Inc | Durable Medical Equipment & Medical Supplies | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2014-10-06 |
| 1467897009 | Lakeview Dental | Dentist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2013-05-09 |
| 1629371075 | Acupuncture and Massage of Western New York PC | Massage Therapist | 6003 Big Tree Rd, Lakeville, NY 14480-9753 | 2010-12-07 |
| 1003953837 | Peter Shea | Acupuncturist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2007-01-31 |
| 1689747388 | Finger Lakes Podiatry, PC | Podiatrist | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-11-17 |
| 1174619365 | University Optical Corp | Durable Medical Equipment & Medical Supplies | 6003 Big Tree Rd, Lakeville, NY 14480-9720 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
| 1295810802 | Nancy J Mulvaney | Pharmacist | 5975 Big Tree Rd., Lakeville, NY 14480 | 2006-10-25 |
| 1013979772 | Robin Crist | Physical Therapist | 3506 Thomas Dr., Lakeville, NY 14480 | 2006-04-06 |
| 1063488948 | Andrew V Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1386094076 | State of New York Comptrollers Office | Clinic/Center | 3505 Thomas Dr, Livonia, NY 14480 | 2016-06-14 |
| 1356445662 | Lisa N. Mckay | Pharmacist | 5975 Big Tree Rd, Lakeville, NY 14480 | 2006-09-08 |
| 1871556795 | Aaron Charles Borden | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-04-11 |
| 1740256627 | Dawn M Mattle | Physical Therapist | 3506 Thomas Drive, Lakeville, NY 14480 | 2006-02-28 |
| 1689736746 | Livonia Lakeville Pharmacy Inc | Pharmacy | 5975 Big Tree Rd, Lakeville, NY 14480-0414 | 2006-12-15 |
| 1114977741 | John Alker | Anesthesiology | 3518 Pebble Beach Rd, Lakeville, NY 14480-9708 | 2006-05-12 |
| Find all providers in zip 14480 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053840058 | Christa Colleen Coscia | Dentist | 54 Main St Ste 6, Lakeville, MA 02347-3622 | 2017-06-05 |
| 1386031664 | Brenda Flores Sousa | Dentist | 6003 Big Tree Rd., Lakeville, NY 14480 | 2015-04-23 |
| 1245525880 | Jeffery Arthur Kohler Jr. | Dentist | 17600 Cedar Ave, Lakeville, MN 55044-6339 | 2011-06-11 |
| 1881849636 | Lake Marion Dental Care | Dentist | 19950 Dodd Blvd, Lakeville, MN 55044-6341 | 2008-11-20 |
| 1053538579 | Henry David Watzl | Dentist | 9202 202nd St W Ste 201, Lakeville, MN 55044-7917 | 2007-04-18 |
| 1023231776 | Myron A Henrickson | Dentist | 17436 Kenwood Trl, Lakeville, MN 55044 | 2007-04-11 |
| 1841365293 | Robert B. Miller | Dentist | 17746 Kenwood Trl, Lakeville, MN 55044-9454 | 2006-11-21 |
| 1043395809 | Ghassan A Khoury | Dentist | 12 Colleen Dr, Lakeville, MA 02347-1663 | 2006-10-27 |
| 1144329814 | Peter John Regas | Dentist | 69 Main St., Lakeville, MA 02347-1618 | 2006-09-21 |
| 1700998929 | Jennifer Elizabeth Harrison | Dentist | 20171 Icenic Trl, Lakeville, MN 55044-7708 | 2006-09-01 |
| Find all providers in LAKEVILLE | ||||
Please comment or provide details below to improve the information on JOHN DAVID WOODRUFF.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.