TIM & RANDY WOODRUFF DDS PTRS NPI 1104077916

NPI Information

TIM & RANDY WOODRUFF DDS PTRS is a general practice dentist in Jonesboro, AR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TIM & RANDY WOODRUFF DDS PTRS NPI is 1104077916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2800 ENTERPRISE CV
JONESBORO, AR
ZIP 72401-271
Phone: (870) 972-8190

The provider's authorized official is Timothy C. Woodruff .
The authorized official title is Dr. and has the following contact phone number (870) 972-8190.

The enumeration date for this NPI number is 10/10/2008 and was last updated on 10/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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