Individual
DR. TIMOTHY D. WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
503 ELM, BOX 26, SUITE 1, WAMEGO, KS 66547-0026
(785) 456-2330
(785) 456-9740
Mailing address
503 ELM, BOX 26, SUITE 1, WAMEGO, KS 66547-0026
(785) 456-2330
(785) 456-9740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5885
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116673
BCBSKS INSURANCE PROVIDER
KS
01
—
842569
UNITED CONCORDIA TRICARE
KS
Enumeration date
09/27/2006
Last updated
07/08/2007
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