Individual
DR. MARK CARLYLE WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6620 CAMDEN BLVD, FOUNTAIN, CO 80817-2505
(719) 631-6136
Mailing address
8276 MOSBY WAY, COLORADO SPRINGS, CO 80908-5692
(801) 712-7403
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DEN.00206270
CO
Other
Enumeration date
04/17/2023
Last updated
08/13/2025
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