Male or Other

Dr. Kevin Woody D.M.D.

Pediatric Dentist in Cleveland, OH(View on Map)

Full Name

Dr. Kevin Woody D.M.D.

NPI Number

1164743969

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/15/2010

Specialties

(Taxonomies)

Code

1223P0221X
122300000X
390200000X

Primary Taxonomy

Yes
No
No

Licenses

State

Hawaii
Texas
Washington

License Number

2690
25528
DE60642474

Contact
Information

Purpose

Mailing
Location

Address

11100 EUCLID AVE
11100 EUCLID AVE

City

Cleveland
Cleveland

State

OH
OH

Postal Code

44106
44106

Country

US
US

Telephone Number

(903) 905-3554
(903) 905-3554

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/11/2017

Provider Address

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