National Provider Identifier

John David Woodruff, D.D.S

John David Woodruff, D.D.S is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lakeville, NY and a listed phone number of (585) 346-3028.

NPI 1053405324Lakeville, NYGeneral Practice Dentistry

Profile Overview

NPI
1053405324
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 03, 2006
Last Updated
July 08, 2007

Practice Location

  • 6003 Big Tree RD
  • Suite 6
  • Lakeville, NY 14480-9720

Phone: (585) 346-3028

Mailing Address

  • PO Box 80
  • Livonia, NY 14487-0080

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1053405324
Entity Type
Individual
Last Name
Woodruff
First Name
John
Middle Name
David
Credential
D.D.S
Mailing Street Address
PO Box 80
Mailing City
Livonia
Mailing State
NY
Mailing ZIP Code
14487-0080
Mailing Country
US
Mailing Phone
(585) 346-3028
Mailing Fax
(585) 346-5024
Practice Street Address
6003 Big Tree RD
Practice Address Line 2
Suite 6
Practice City
Lakeville
Practice State
NY
Practice ZIP Code
14480-9720
Practice Country
US
Practice Phone
(585) 346-3028
Practice Fax
(585) 346-5024
Enumeration Date
October 03, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)