Woodbury, Scott C

Woodbury, Scott C is an individual health care provider with primary practice located at 4350 Fashion Square Boulevard , Saginaw MI 48603-1249. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Woodbury, Scott C can be contacted via phone (989) 799-7128.

Contact Information

Primary practice address
4350 Fashion Square Boulevard Saginaw MI 48603-1249
Phone: (989) 799-7128
Fax: (989) 799-3895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901017356 Michigan
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 2901017356 Michigan

Profile Details

NPI number 1639244940
LBN Legal business name Woodbury, Scott C
Credentials DMD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639244940 NPPES
Michigan Other OG361000 BLUE CROSS BLUE SHIELD

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