Organization
JAMES M. WOODS DMD, PSC
Active
Other names
Bluegrass Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL WOODS D.M.D. (PRESIDENT)
(270) 443-7405
Entity
Organization
Contact information
Practice address
2307 KENTUCKY AVE., PADUCAH, KY 42003-3243
(270) 443-7405
(270) 443-7819
Mailing address
2307 KENTUCKY AVE., PADUCAH, KY 42003-3243
(270) 443-7405
(270) 443-7819
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61900023
—
KY
Enumeration date
05/02/2007
Last updated
03/09/2015
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