Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON WILSON WOOLLARD, DDS MS
ActiveDR. GORDON WILSON WOOLLARD, DDS MS is a Endodontics healthcare provider located in FT POLK, Louisiana. NPI 1265482350 is currently active in the NPPES registry. Verify at CMS.
Endodontics · FT POLK, LA
Registration Details
- NPI Number
- 1265482350
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.220192847101 yrs)
- Last Updated
- Jul 8, 2007
- License
-
5361 (NE)
Practice Information
- Address
-
1840 BELLRICHARDCHESSER DENTAL CLINICFT POLK, LA, 71459Browse LA providers · Browse ZIP 71459
- Phone
- 3375314854
- Primary Specialty
-
Endodontics
1223E0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.