| Woodard Orthodontics | |
|
5833 Harbour View Blvd Suite A Suffolk VA 23435-2657 | |
| (757) 686-3955 | |
| Not Available |
| Full Name | Woodard Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5833 Harbour View Blvd, Suffolk, Virginia |
| Authorized Official Name and Position | Mia Turner (PRACTICE COORDINATOR) |
| Authorized Official Contact | 7576863955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodard Orthodontics 5833 Harbour View Blvd Suite A Suffolk VA 23435-2657 Ph: (757) 686-3955 | Woodard Orthodontics 5833 Harbour View Blvd Suite A Suffolk VA 23435-2657 Ph: (757) 686-3955 |
| NPI Number | 1366628182 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366628182 | NPI | - | NPPES |
| 9180412 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0401411138 (Virginia) | Primary |
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