Individual
DR. TIMOTHY C. WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1817 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 972-8190
(870) 972-9714
Mailing address
1817 EXECUTIVE SQ, JONESBORO, AR 72401-6086
(870) 972-8190
(870) 972-9714
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2362
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58879
BCBS
AR
Enumeration date
11/15/2006
Last updated
03/07/2023
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