Individual
ROGER DOUGLAS WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
620 E THIRD ST, FOREST, MS 39074-4226
(601) 469-2664
(601) 469-2955
Mailing address
620 E THIRD ST, FOREST, MS 39074-4226
(601) 469-2664
(601) 469-2955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
185979
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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