David Lawrence Woodruff, D.D.S.

Dentist · Peoria, IL

Individual Active NPI

NPI number 1710149976

Practice location

2015 W Glen Ave
Suite 230
Peoria, IL 61614-4690
Phone
(309) 673-4616
Fax
(309) 673-6089

Open in Google Maps

NPI record

NPI
1710149976
Entity type
Individual (Type 1)
Enumeration date
June 30, 2008
Last updated
June 30, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019019595 IL

About Dr. Woodruff

David Lawrence Woodruff, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2015 W Glen Ave, Suite 230, Peoria, IL 61614-4690. The NPI number 1710149976 was assigned on June 30, 2008 and the record was last updated on June 30, 2008.

Dr. Woodruff lists a license in the registry: #019019595 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Lawrence Woodruff, D.D.S.?

The NPI number is 1710149976.

What is the phone number of Dr. Woodruff?

The phone number listed for the practice location is (309) 673-4616.

Where is Dr. Woodruff located?

2015 W Glen Ave, Suite 230, Peoria, IL 61614-4690.

What is the taxonomy code for Dr. Woodruff?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Peoria

All Dentist providers in Peoria, IL →