DR. RUSSELL ALVIN WOODBURY (NPI# 1538314133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538314133 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL ALVIN WOODBURY |
| Credential | D,D,S, |
| Practice Address |
1867 State Highway 39 Aurora MO 65605-8379 |
| Practice Telephone | 4176781400 |
| Mailing Telephone | 4176781400 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
MO14379 | MO | Dental Providers |
| Street Address |
1867 STATE HIGHWAY 39 |
| City | AURORA |
| State | MO |
| Zip Code | 65605-8379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1134609712 | Regional Services | Nurse Practitioner | 305 W Prospect St, Aurora, MO 65605 | 2018-08-14 |
| 1932545977 | Ozark Tri-county Health Care Consortium | Clinic/Center | 1810 South Carnation Dr., Aurora, MO 65605 | 2013-05-17 |
| 1376884353 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 729 Highland Street, Aurora, MO 65605 | 2013-03-15 |
| 1518241587 | Holly Lynn Wade | Counselor | 1119 S Elliot, Aurora, MO 65605 | 2011-10-07 |
| 1760785265 | Mercy Hospital Springfield | Durable Medical Equipment & Medical Supplies | 721 E Highland Street, Aurora, MO 65605 | 2010-12-06 |
| 1740488147 | Marilyn Ruth Wachner | Social Worker | 1604 1 2 S Elliott, Aurora, MO 65605 | 2007-07-06 |
| 1942372248 | Patricia Ann Clark | Counselor | 112 S. Madison, Aurora, MO 65605 | 2006-11-14 |
| 1003994732 | Darren Gene Cook | Counselor | Lifecare Family Services, 112 S. Madison, Aurora, MO 65605 | 2006-11-01 |
| 1295878981 | Mercy Hospital Aurora | General Acute Care Hospital | 500 Porter Ave, Aurora, MO 65605 | 2007-02-14 |
| Find all providers in zip 65605 | ||||
| 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 |
|---|---|---|---|---|
| 1710591342 | Station Dental Group, PC | Dentist | 14001 E Iliff Ave Ste 104, Aurora, CO 80014-1424 | 2020-09-01 |
| 1063030427 | Pacific Smiling Dental P.C. | Dentist | 4370 E New York St, Aurora, IL 60504-4121 | 2020-07-10 |
| 1245856244 | Aurora Family Dentistry LLC | Dentist | 13700 E Colfax Ave Unit M, Aurora, CO 80011-6847 | 2020-06-25 |
| 1033733423 | Weber Family Dentistry Pllc | Dentist | 2501 Dallas St Ste 224, Aurora, CO 80010-1036 | 2020-06-02 |
| 1457970600 | Mesmariland Pllc | Dentist | 18801 E Hampden Ave Ste 178, Aurora, CO 80013-3587 | 2020-04-08 |
| 1780233122 | Rachel Catalano | Dentist | 185 New Castle Dr Apt 23-185, Aurora, OH 44202-6731 | 2019-09-09 |
| 1063061703 | Ohio Dental Professionals, Delisle, P.C. | Dentist | 485 N Aurora Rd, Aurora, OH 44202-8721 | 2019-09-05 |
| 1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
| 1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
| 1588123079 | Hope Dental P.C. | Dentist | 2418 W Indian Trl Ste E, Aurora, IL 60506-1590 | 2019-03-14 |
| Find all providers in AURORA | ||||
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| 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.