DR. SCOTT C WOODBURY (NPI# 1639244940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639244940 |
| Entity Type | Individual |
| Full Name | DR. SCOTT C WOODBURY |
| Credential | DMD MD |
| Practice Address |
4350 Fashion Square Boulevard Saginaw MI 48603-1249 |
| Practice Telephone | 9897997128 |
| Practice Fax Number | 9897993895 |
| Mailing Telephone | 9897997128 |
| Mailing Fax Number | 9897993895 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901017356 | MI | Dental Providers |
| X | 204E00000X | Oral & Maxillofacial Surgery | 2901017356 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | OG361000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380203 | Scott Woodbury | Physical Therapy Assistant | 1700 E Stone St, Brenham, TX 77833-5150 | 2019-01-23 |
| Street Address |
4350 FASHION SQUARE BOULEVARD |
| City | SAGINAW |
| State | MI |
| Zip Code | 48603-1249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952476269 | Hennig Woodbury & Howard PC | Dentist | 4350 Fashion Square Boulevard, Saginaw, MI 48603-1249 | 2006-11-21 |
| 1417023144 | Theodore B Hennig | Dentist | 4350 Fashion Square Boulevard, Saginaw, MI 48603-1249 | 2006-11-27 |
| 1295800506 | Johnathan T Howard | Dentist | 4350 Fashion Square Boulevard, Saginaw, MI 48603-1249 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503952 | Kimberly Michelle Cole | Social Worker | 2823 Pimlico Ln, Saginaw, MI 48603 | 2019-11-20 |
| 1669035895 | Kristine Anna Roberts | Massage Therapist | 3175 Christy Way 8, Saginaw, MI 48603 | 2019-04-14 |
| 1114413069 | Sabrina Shunnarah | Behavioral Analyst | 3267 Schust Road, Apt. 101, Saginaw, MI 48603 | 2018-07-03 |
| 1740708528 | Alexandra Jennette Hengy | Student in an Organized Health Care Education/Training Program | 4287 Harbour Towne Dr Apt. 6, Saginaw, MI 48603 | 2017-08-31 |
| 1003345380 | Karissa Irene Piar | Social Worker | 2100 Hemmeter Rd., Saginaw, MI 48603 | 2017-06-08 |
| 1922537281 | Anita Rick | Behavior Technician | 3949 N. River Road, Freeland, Mi 48623, Freeland, MI 48603 | 2017-06-08 |
| 1417300393 | Saginaw County Community Mental Health Authority | In Home Supportive Care | 3875 Bay Rd., Saginaw, MI 48603 | 2016-07-15 |
| 1992154009 | Tricity Diagnostics, LLC | Physiological Laboratory | 3055 Enterprise Drive, Suite 2, Saginaw, MI 48603 | 2016-06-09 |
| 1659744571 | Janet Lee Smith | Social Worker | 4341 Barnard Rd, Saginaw, MI 48603 | 2015-11-02 |
| 1255656757 | Joseph Edward Chmielewski | Chiropractor | 4266 State St., Saginaw, MI 48603 | 2010-03-29 |
| Find all providers in zip 48603 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646158 | Dr. Fred A. Loe D.d.s., P.a. | Dentist | 820 Towne Ct, Saginaw, TX 76179-1279 | 2007-01-19 |
| 1356402077 | Thomas J Hyde | Dentist | 5560 Gratiot Rd, Suite 1, Saginaw, MI 48638-6091 | 2006-12-13 |
| 1952476269 | Hennig Woodbury & Howard PC | Dentist | 4350 Fashion Square Boulevard, Saginaw, MI 48603-1249 | 2006-11-21 |
| 1356870950 | Green Oral Surgery Pllc | Dentist | 820 Towne Ct, Saginaw, TX 76179 | 2017-06-07 |
| 1801159322 | Glenn Green | Dentist | 820 Towne Ct, Saginaw, TX 76179-1279 | 2012-06-19 |
| 1477860716 | Reynold J. Baumstark Dds | Dentist | 5605 Colony Dr N, Suite 1, Saginaw, MI 48638-5718 | 2010-09-08 |
| 1740596857 | Hyde Oral & Maxillofacial Surgery Pllc | Dentist | 5560 Gratiot Rd, Suite 1, Saginaw, MI 48638-6091 | 2010-08-26 |
| 1982748802 | Baumstark and Hyde Oral Surgery, P.C. | Dentist | 5605 Colony Dr N, Suite 1, Saginaw, MI 48638-7187 | 2007-02-16 |
| 1578624110 | Reynold Joseph Baumstark | Dentist | 5605 Colony Dr N, Saginaw, MI 48638-7187 | 2006-12-13 |
| 1417023144 | Theodore B Hennig | Dentist | 4350 Fashion Square Boulevard, Saginaw, MI 48603-1249 | 2006-11-27 |
| Find all providers in SAGINAW | ||||
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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.