Woolery Dental P.c.

NPI #1295192144 in Rockford, Illinois

Provider Information

NPI Number: 1295192144
Entity Type: Organization
Organization Name: Woolery Dental P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 23, 2016
Last Updated: Jan 25, 2016

Practice Location

Address: 5301 E STATE ST STE 306
City: Rockford
State: Illinois
ZIP Code: 61108-2390
Phone: (815) 399-2542

Authorized Official

Name: JENNIFER K WOOLERY, DMD
Title: DENTIST/OWNER
Phone: (815) 399-2542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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