Wooddell, John Douglas

Wooddell, John Douglas is an individual health care provider with primary practice located at 3299 Woodburn Rd Ste 440, Annandale VA 22003-7329. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wooddell, John Douglas can be contacted via phone (703) 698-9698.

Contact Information

Primary practice address
3299 Woodburn Rd Ste 440 Annandale VA 22003-7329
Phone: (703) 698-9698
Fax: (703) 849-0935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6607 Virginia

Profile Details

NPI number 1073519146
LBN Legal business name Wooddell, John Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 8th, 2007 - about 18 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 1073519146 NPPES
Virginia Other 502107 UNITED CONCORDIA
Virginia Other 078334 UNITED CONCORDIA

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