Woodhead, Roderick Peter
Woodhead, Roderick Peter is an individual health care provider with primary practice located at 215 Islip Ave , Islip NY 11751-3013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Woodhead, Roderick Peter can be contacted via phone (631) 277-7741.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 041030 | New York |
Profile Details
NPI number | 1770562928 |
---|---|
LBN Legal business name | Woodhead, Roderick Peter |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 15th, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770562928 | NPPES |
New York | MEDICAID | 001101422 |
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