Dr. James G Woodyard
Periodontist
4886 Rosebud Lane
Newburgh
, Indiana 47630
Dr. James G Woodyard
Periodontist
4886 Rosebud Lane
Newburgh
, Indiana 47630
(812) 473-4833
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. James G Woodyard
- 4886 Rosebud Lane
- Newburgh, IN
- Zip : 47630
- Phone : (812) 473-4833
Second Address
- Dr. James G Woodyard
- 4886 Rosebud Lane
- Newburgh, IN
- Zip : 47630
- Fax : (812) 473-4842
- Phone : (812) 473-4833
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 12010599A | IN |
National Provider Identifier
| NPI | 1053462127 |
|---|---|
| Provider Name | Dr. James G Woodyard |
| First Address | Newburgh, IN 47630 |
| Second Address | Newburgh, IN 47630 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 11/06/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BW6386153 | DEA (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.