DR. DAVID LAWRENCE WOODRUFF


Address: 2015 W Glen Ave, Suite 230, Peoria, IL 61614-4690
Phone: 3096734616

DR. DAVID LAWRENCE WOODRUFF (NPI# 1710149976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710149976
Entity Type Individual
Full Name DR. DAVID LAWRENCE WOODRUFF
Credential D.D.S.
Practice Address 2015 W Glen Ave
Suite 230
Peoria
IL 61614-4690
Practice Telephone 3096734616
Practice Fax Number 3096736089
Mailing Telephone 3096734616
Mailing Fax Number 3096736089
Enumeration Date 2008-06-30
Last Update Date 2008-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 019019595 IL Dental Providers

Other Providers DAVID WOODRUFF

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1356942197 David Woodruff Registered Nurse 1530 Northwood Ave, Alliance, OH 44601-5714 2020-11-06
1154317188 David L Woodruff Family Medicine 161 Garau St, Bluffton, OH 45817-1076 2005-09-26
1023017225 David Aaron Woodruff Dentist 1213 Coffee Rd, Suite K, Modesto, CA 95355-4229 2005-07-19
1851501977 David K. Woodruff Audiologist-Hearing Aid Fitter 6037 La Granada, Suite D, Rancho Santa Fe, CA 92067-0524 2007-05-24
1609862333 David E. Woodruff Jr. Internal Medicine 2800 L St, 6th Floor, Sacramento, CA 95816-5616 2005-09-27

Office Location

Street Address 2015 W GLEN AVE
SUITE 230
City PEORIA
State IL
Zip Code 61614-4690

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457537508 Peoria Chiropractic PC Chiropractor 2015 W Glen Ave, Suite 220, Peoria, IL 61614-4690 2008-01-18
1942467105 Khoury Chiropractic Inc Chiropractor 2015 W Glen Ave, Suite 220, Peoria, IL 61614-4690 2008-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386258689 Joshua Dutton Dentist 8325 W Happy Valley Rd Unit 100, Peoria, AZ 85383-4361 2020-09-03
1750908992 Asfia Kauser Dentist 4325 W Castleton Rd, Peoria, IL 61615-2821 2020-07-04
1528694247 Lake Pleasant Kids Dentists and Orthodontics, LLP Dentist 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 2020-03-13
1114588217 Kong Xing Wang Dentist 320 East Armstrong Ave, Peoria, IL 61603 2019-06-28
1669958781 Plaza Family Dental Inc Dentist 9145 W Thunderbird Rd Ste H105, Peoria, AZ 85381-4820 2018-07-11
1578058293 Bhumikaben Patel Dentist 5400 W Sienna Ln Apt 2202, Peoria, IL 61615-7857 2018-06-25
1265926729 Vogue Dental Peoria LLC Dentist 3510 N University St Ste A, Peoria, IL 61604-1346 2018-06-19
1841784493 Jeffrey Jay Chen Dentist 9016 N Allen Rd Ste B, Peoria, IL 61615-1560 2018-06-18
1013422138 Joseph Nicholas Taylor Dentist 7310 N Villa Lake Dr Ste B, Peoria, IL 61614-8268 2017-12-12
1457881351 Jaclyn Macdonald Dentist 2214 N University St, Peoria, IL 61604-3221 2017-06-14
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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