DR. COREY WOODARD (NPI# 1538574348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538574348 |
| Entity Type | Individual |
| Full Name | DR. COREY WOODARD |
| Credential | DMD |
| Practice Address |
803 S Main St Greensboro GA 30642-1211 |
| Practice Telephone | 7064545114 |
| Practice Fax Number | 7064545199 |
| Mailing Telephone | 7064545114 |
| Mailing Fax Number | 7064545199 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2015-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN014806 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DENTAL LICENSE | DN014806 | 01 |
| GA | 003148592A | 05 |
| Street Address |
803 S MAIN ST |
| City | GREENSBORO |
| State | GA |
| Zip Code | 30642-1211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635847 | Clarence H Fossier | Specialist | 803 S Main St, Greensboro, GA 30642-1211 | 2005-08-04 |
| 1225637192 | Jennifer Dixon | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2020-10-22 |
| 1104476936 | Jessica Devero Milner | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2019-09-13 |
| 1427542265 | Jessica Elizabeth Anne Simpson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642 | 2018-06-15 |
| 1790235364 | Morgan Hardigree | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2016-10-07 |
| 1689057754 | Nathan Wade | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2015-07-07 |
| 1104210459 | Sonia Suda | Internal Medicine | 803 S Main St, Greensboro, GA 30642-1211 | 2015-03-25 |
| 1093121592 | Matthew Carithers | Dentist | 803 S Main St, Greensboro, GA 30642-1211 | 2014-07-03 |
| 1396183752 | Missy Leigh Jackson | Nurse Practitioner | 803 S Main St, Greensboro, GA 30642-1211 | 2013-06-07 |
| 1508202995 | Itoro Bassey Edet Daniels | Internal Medicine | 803 S Main St, Greensboro, GA 30642 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821575176 | Donald Matson Keiser IIi | Pharmacist | 6380 Lake Oconee Parkway, Greensboro, GA 30642 | 2018-07-19 |
| 1427575844 | Kathleen Mcgrady | Psychologist | 1121 Careywood St, Greensboro, GA 30642 | 2017-08-25 |
| 1851733281 | April Jackson Powell | Physical Therapist | 1000 Cowles Clinc Way Ste D-100, Greensboro, GA 30642 | 2013-07-26 |
| 1003046673 | Apalachee Medical Supply & Mobility Inc | Durable Medical Equipment & Medical Supplies | 1000 Cowles Clinic Way, Aspen Building A-200, Greensboro, GA 30642 | 2009-07-17 |
| 1487808754 | Wendy C Pearson | Nurse Practitioner | 1000 Cowles Clinc Way Ste 300, Greensboro, GA 30642 | 2008-11-12 |
| 1144481516 | Kingdom Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1020 Park Drive, Suite B, Greensboro, GA 30642 | 2008-06-18 |
| 1538369343 | Jerry Allen Spivey Jr. | Anesthesiology | 1030 Founders Row, Greensboro, GA 30642 | 2007-07-19 |
| 1578766309 | Richard Norman Lee | Dentist | 1041 Parkside Commons, Suite 104, Greensboro, GA 30642 | 2007-06-08 |
| 1609085950 | Lott Cuffie Southwest Properties | Dentist | 1050 Parkside Commons, Suite 103, Greensboro, GA 30642 | 2007-05-22 |
| 1649320490 | Greene County Nursing Center LLC | Skilled Nursing Facility | 1211 Siloam Road, Greensboro, GA 30642 | 2007-01-12 |
| Find all providers in zip 30642 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1013432889 | Dominick Joseph Grillo | Dentist | 2733 Horse Pen Creek Rd Ste 107, Greensboro, NC 27410-8538 | 2017-08-13 |
| 1821544172 | Justin Mckinlay | Dentist | 3501 Associate Dr, Greensboro, NC 27405-3879 | 2016-08-28 |
| 1629483425 | Bhavna T Pahel | Dentist | 510 Hickory Ridge Dr, Greensboro, NC 27409-9779 | 2014-07-01 |
| 1457671786 | Chavala Melita Harris | Dentist | 510 Nicholas Rd Ste F, Greensboro, NC 27409-3404 | 2010-06-09 |
| 1801028436 | Eric Van Lilly | Dentist | 1108 Country Club Dr, Greensboro, NC 27408-6318 | 2009-08-16 |
| 1477783728 | Thomas J Bagley | Dentist | 2729 Horse Pen Creek Rd, Suite 103, Greensboro, NC 27410-8395 | 2009-07-21 |
| 1952551889 | Michael Lee Collins | Dentist | 5304 Guida Drive, Greensboro, NC 27410 | 2008-09-29 |
| 1376713149 | Homer Clark Bell IIi | Dentist | 1601 West Cornwallis Drive, Greensboro, NC 27408 | 2008-03-07 |
| 1760663074 | Ryan Charles Kraska | Dentist | 502 N Elam Ave, Greensboro, NC 27403-1127 | 2007-11-15 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 30642 |
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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.