DR. KERRY L WOOLUM DMD NPI 1720148984

NPI Information

  • NPI: 1720148984
  • Provider Name: DR. KERRY L WOOLUM, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 121 W VIRGINIA AVE
    PINEVILLE, KY
    ZIP 40977
  • Phone: (606) 337-3034

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NPI Details

DR. Kerry L Woolum, DMD is a general practice dentist in Pineville, KY. 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. DR. Kerry L Woolum, DMD NPI is 1720148984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

121 W VIRGINIA AVE
PINEVILLE, KY
ZIP 40977-600
Phone: (606) 337-3034
Fax: (606) 337-5305

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist4864KENTUCKYNo
21223G0001XDentistGeneral Practice4864KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
145001450MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYEPSDT
260048642MEDICAIDKENTUCKY

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: 11/21/2025

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