DR. CAROL BETH WOODDELL (NPI# 1760500086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760500086 |
| Entity Type | Individual |
| Full Name | DR. CAROL BETH WOODDELL |
| Credential | DDS |
| Practice Address |
9295 Old Keene Mill Rd Burke VA 22015-4202 |
| Practice Telephone | 7034409701 |
| Practice Fax Number | 7034409703 |
| Mailing Telephone | 7034409701 |
| Mailing Fax Number | 7034409703 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401006991 | VA | Dental Providers |
| Street Address |
9295 OLD KEENE MILL RD |
| City | BURKE |
| State | VA |
| Zip Code | 22015-4202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154515609 | Amy Hinz Adair | Dentist | 9295 Old Keene Mill Rd, Burke, VA 22015-4202 | 2007-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346876182 | Fereshteh Khodaei Shahrokhi | Social Worker | Lyngate Ct, Suite 200, Burke, VA 22015 | 2020-03-12 |
| 1255891594 | Dental Care Burke | Clinic/Center | 9239 Old Keene Road, Burke, VA 22015 | 2019-03-22 |
| 1659866846 | Yasamin Abbaszadeh Rasool | Dentist | 9006 Crownwood Ct, Unit A, Burke, VA 22015 | 2018-06-29 |
| 1407228463 | Burke Dental, Pllc | Dentist | 9006 Fern Park Dr., Suite A, Burke, VA 22015 | 2015-10-29 |
| 1255717575 | Chara Civitello | Occupational Therapist | 5804 Chase Commons Court Apt 207, Burke, VA 22015 | 2015-08-10 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1477801074 | Grace T Neria | Nutritionist | 9108 Lyon Park Court, Burke, VA 22015 | 2012-08-29 |
| 1467711366 | Julio A Dejo Md PC | Internal Medicine | 8998 Fern Park Dr., Burke, VA 22015 | 2012-05-11 |
| 1720373046 | Neelima Neelapala | Physical Therapist | 5982 Annaberg Pl, Burke, VA 22015 | 2011-06-15 |
| 1528294980 | Veena Rani Puri Butler | Nurse Practitioner | 8988 Fern Park Drive, Burke, VA 22015 | 2009-05-29 |
| Find all providers in zip 22015 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120903 | Caitlyn Nuger Gerald | Dentist | 9316 Old Keene Mill Rd Ste C, Burke, VA 22015-4285 | 2015-07-24 |
| 1235576745 | Pediatric Dentistry of Burke PC | Dentist | 5284 Lyngate Court, Burke, VA 22015 | 2013-05-24 |
| 1144434572 | Gary Robert Kramer | Dentist | 5631 Burke Centre Pkwy Ste F, F, Burke, VA 22015-2234 | 2007-05-08 |
| 1891825741 | Golden Dental Associates, PC | Dentist | 7200 Lyngate Court, Burke, VA 22015-1631 | 2007-03-07 |
| 1407281918 | Sucheta Budania | Dentist | 5200 Lyngate Court, Apt 2, Burke, VA 22015 | 2013-09-04 |
| 1871811927 | Sara Elizabeth Bunin | Dentist | 5631 Burke Centre Pkwy Ste F, Burke, VA 22015-2234 | 2010-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CAROL BETH WOODDELL.
| 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.