# L. KEITH WOODY DMD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lloyd K. Woody
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346639366
- **Authorized official:** L. KEITH WOODY DMD (OWNER)
- **Authorized official phone:** (606) 789-9092

## Contact information

- **Practice address:** 325 BROADWAY ST, PAINTSVILLE, KY 41240-1348
- **Practice address phone:** (606) 789-9092
- **Practice address fax:** (606) 789-4428
- **Mailing address:** P.O. BOX 1661, 325 BROADWAY ST, PAINTSVILLE, KY 41240
- **Mailing address phone:** (606) 789-9092
- **Mailing address fax:** (606) 789-4428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6240 | KY | Yes |

## Other

- **Enumeration date:** 01/14/2015
- **Last updated:** 01/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 381COD3224 | — | WV |
| 05 | — | 60062404 | — | KY |