| Jon M. Woodruff, D.d.s.;p.a. | |
|
910 S Hillside St Wichita KS 67211-4001 | |
| (316) 684-7531 | |
| (316) 684-1824 |
| Full Name | Jon M. Woodruff, D.d.s.;p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 910 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | Jon Michael Woodruff (OWNER/PRESIDENT) |
| Authorized Official Contact | 3166847531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon M. Woodruff, D.d.s.;p.a. 910 S Hillside St Wichita KS 67211-4001 Ph: (316) 684-7531 | Jon M. Woodruff, D.d.s.;p.a. 910 S Hillside St Wichita KS 67211-4001 Ph: (316) 684-7531 |
| NPI Number | 1083668933 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083668933 | NPI | - | NPPES |
| 017363 | Other | KS | BCBS OF KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6814 (Kansas) | Primary |
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