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BRADLEY M. WOODHAM D.M.D. P.A. NPI 1700308863


NPI Information

NPI: 1700308863
Provider Name: BRADLEY M. WOODHAM, D.M.D., P.A.

Doing Business As: EDGEWATER FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6120 WINKLER RD STE I
FORT MYERS, FL
ZIP 33919
Phone: (239) 481-6433
Get Directions

BRADLEY M. WOODHAM, D.M.D., P.A. is a general practice dentist in Fort Myers, FL. 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. BRADLEY M. WOODHAM, D.M.D., P.A. NPI is 1700308863. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Edgewater Family Dentistry.

The provider's business location address is:

6120 WINKLER RD STE I
FORT MYERS, FL
ZIP 33919-192
Phone: (239) 481-6433
Fax: (239) 481-6455

The provider's authorized official is Bradley Woodham .
The authorized official title is President and has the following contact phone number (239) 481-6433.

The enumeration date for this NPI number is 7/11/2017 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN17101FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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