Provider Demographics
NPI:1477902690
Name:WOODRUFF, QUINN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:QUINN
Middle Name:S
Last Name:WOODRUFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 RETREAT LANE
Mailing Address - Street 2:APT. 2E
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215
Mailing Address - Country:US
Mailing Address - Phone:252-917-3940
Mailing Address - Fax:336-570-1434
Practice Address - Street 1:3450 FORESTDALE DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9142
Practice Address - Country:US
Practice Address - Phone:336-226-0855
Practice Address - Fax:336-570-1434
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10364122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist