DR. Jackie R Woods, D.D.S.

NPI #1831249929 in Tylertown, Mississippi

Provider Information

NPI Number: 1831249929
Entity Type: Individual
Name: DR. Jackie R Woods, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 310 BEULAH AVE
City: Tylertown
State: Mississippi
ZIP Code: 39667-2702
Phone: (610) 876-0860

Specialties & Taxonomy Codes

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

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