Provider Demographics
NPI:1679749485
Name:WOODROW, HARRY O (DDS)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:O
Last Name:WOODROW
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 1:2059 SALISBURY PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6231
Mailing Address - Country:US
Mailing Address - Phone:516-334-7543
Mailing Address - Fax:
Practice Address - Street 1:2059 SALISBURY PARK DR
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6231
Practice Address - Country:US
Practice Address - Phone:516-334-7543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0353171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice