Woodhead, Roderick Peter

Woodhead, Roderick Peter is an individual health care provider with primary practice located at 215 Islip Ave , Islip NY 11751-3013. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Woodhead, Roderick Peter can be contacted via phone (631) 277-7741.

Contact Information

Primary practice address
215 Islip Ave Islip NY 11751-3013
Phone: (631) 277-7741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041030 New York

Profile Details

NPI number 1770562928
LBN Legal business name Woodhead, Roderick Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770562928 NPPES
New York MEDICAID 001101422

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