# DODI R. WOOLLEY DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Your Best Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164644498
- **Authorized official:** MRS. DODI R. WOOLLEY DDS (DENTIST)
- **Authorized official phone:** (219) 987-5733

## Contact information

- **Practice address:** 534 N HALLOCK ST, DEMOTTE, IN 46310
- **Practice address phone:** (219) 987-5733
- **Practice address fax:** (219) 987-6162
- **Mailing address:** PO BOX 848, DEMOTTE, IN 46310
- **Mailing address phone:** (219) 987-5733
- **Mailing address fax:** (219) 987-6162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6974 | IN | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 01/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 431657 | UNITED CONCORDIA | — |