DR. REGINALD GARY WOODELL (NPI# 1912147539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912147539 |
| Entity Type | Individual |
| Full Name | DR. REGINALD GARY WOODELL |
| Credential | D.D.S. |
| Practice Address |
7571 Highway 78 Winston GA 30187-1449 |
| Practice Telephone | 4049336031 |
| Mailing Telephone | 4049336031 |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8104 | GA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
8104 | GA | Dental Providers |
| Street Address |
7571 HIGHWAY 78 |
| City | WINSTON |
| State | GA |
| Zip Code | 30187-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836581 | United Medical Response LLC | Ambulance | 2425 Jason Industrial Pkwy, Winston, GA 30187 | 2009-08-14 |
| 1598275745 | Maple Clinic for Speech and Language LLC | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
| 1477063600 | Kelly Gawel | Speech-Language Pathologist | 7824 Tyree Rd, Winston, GA 30187-1230 | 2017-10-02 |
| 1114430097 | Richard Anthony Bell II | Registered Nurse | 7940 Hannah Rd, Winston, GA 30187-1237 | 2017-11-14 |
| 1356509376 | Foroogh Elguindi | Counselor | 5123 Daniell Mill Road, Winston, GA 30187-1362 | 2008-05-27 |
| 1588214100 | Patricia Wynn | Contractor | 6822 Cowan Mill Rd, Winston, GA 30187-1533 | 2019-09-16 |
| 1336534924 | Leondria Taty | Nurse Practitioner | 2929 Post Rd, Winston, GA 30187-1537 | 2015-04-01 |
| 1841651254 | Amelia St John | Registered Nurse | 3644 Mason Ridge Dr, Winston, GA 30187-1578 | 2016-03-11 |
| 1952879017 | Deborah Jones | Social Worker | 3599 Falls Trl, Winston, GA 30187-1595 | 2018-11-07 |
| 1255737508 | Wendy Flory | Physical Therapy Assistant | 7235 Hummingbird Ln, Winston, GA 30187-1717 | 2014-11-14 |
| Find all providers in zip 30187 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1770132581 | Auburn Periodontics of Columbus, LLC | Dentist | 400 Brookstone Centre Pkwy Ste 100, Columbus, GA 31904-3640 | 2019-09-05 |
| 1942655816 | Dental Rescue Therapy Group, LLC | Dentist | 39 Vernon Glen Ct, Atlanta, GA 30338-5422 | 2016-04-28 |
| 1033576921 | Hal Arnold | Dentist | 50 Old Ivy Rd Ne, Suite 100, Atlanta, GA 30342-4538 | 2016-01-22 |
| 1265815997 | Fadi Al Farawati | Dentist | Au Dental Associates 1430 John Wesley Gilbert Drive, Augusta, GA 30912-0415 | 2015-06-30 |
| 1124315965 | Aundrea Vereen Eady | Dentist | 2485 Park Central Blvd Ste 3, Decatur, GA 30035-3903 | 2011-06-30 |
| 1801124466 | Janine J Bethea | Dentist | 5546 Waterford Green Gln, Marietta, GA 30068-2930 | 2009-11-19 |
| 1770718553 | Anna Magdalena Refai | Dentist | 200 Galleria Pkwy, Suite 1830, Atlanta, GA 30339 | 2009-05-21 |
| 1467693952 | Cathy J Smith | Dentist | 4469 Columbia Rd Ste E, Augusta, GA 30907-4572 | 2009-03-13 |
| 1578729083 | James S. Wheeler | Dentist | 214 Arrowhead Blvd, Jonesboro, GA 30236-1102 | 2008-08-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. REGINALD GARY WOODELL.
| 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.