Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REGINALD GARY WOODELL, D.D.S.
Active Sole ProprietorDR. REGINALD GARY WOODELL, D.D.S. is a Pediatric Dentistry healthcare provider located in WINSTON, Georgia. NPI 1912147539 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WINSTON, GA
Registration Details
- NPI Number
- 1912147539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 22, 2009 (17.467373823667 yrs)
- Last Updated
- Feb 22, 2009
- Licenses
-
8104 (GA)8104 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7571 HIGHWAY 78WINSTON, GA, 301871449Browse GA providers · Browse ZIP 30187
- Phone
- 4049336031
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.