Individual
DR. GARY R. WOODALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 SHERLAKE LN, SUITE 103, KNOXVILLE, TN 37922-3473
(865) 531-0894
(865) 531-4873
Mailing address
9400 MIDDLEBROOK PIKE, KNOXVILLE, TN 37931-4705
(865) 690-1380
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-00004363
TN
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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