Provider Demographics
NPI:1639399512
Name:WOODS, DEBRA A (DMD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:A
Last Name:WOODS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 GADSDEN HWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35235-2571
Mailing Address - Country:US
Mailing Address - Phone:205-836-3434
Mailing Address - Fax:205-836-3439
Practice Address - Street 1:628 GADSDEN HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35235-2571
Practice Address - Country:US
Practice Address - Phone:205-836-3434
Practice Address - Fax:205-836-3439
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL39091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0959Medicare UPIN