Provider Demographics
NPI:1497406250
Name:JEAN WOODS DDS PLLC
Entity Type:Organization
Organization Name:JEAN WOODS DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-942-6313
Mailing Address - Street 1:1728 FORDHAM BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2332
Mailing Address - Country:US
Mailing Address - Phone:919-942-6313
Mailing Address - Fax:919-942-6361
Practice Address - Street 1:1728 FORDHAM BLVD STE 125
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2332
Practice Address - Country:US
Practice Address - Phone:919-942-6313
Practice Address - Fax:919-942-6361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty