Organization
G. MICHAEL WOODARD DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE MICHAEL WOODARD DDS PA (OWNER)
(919) 870-5905
Entity
Organization
Contact information
Practice address
6829 FALLS OF NEUSE RD STE 106, RALEIGH, NC 27615
(919) 870-5905
(919) 870-8194
Mailing address
6829 FALLS OF NEUSE RD STE 106, RALEIGH, NC 27615
(919) 870-5905
(919) 870-8194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4549
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8999484
—
NC
01
—
99484
BCBS
NC
Enumeration date
01/24/2007
Last updated
08/22/2020
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