Provider Demographics
NPI:1821598038
Name:WOODS, WARREN DANIEL JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:DANIEL
Last Name:WOODS
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 ROUTE 130
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563
Mailing Address - Country:US
Mailing Address - Phone:508-888-6222
Mailing Address - Fax:508-888-9696
Practice Address - Street 1:441 ROUTE 130
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563
Practice Address - Country:US
Practice Address - Phone:508-888-6222
Practice Address - Fax:508-888-9696
Is Sole Proprietor?:No
Enumeration Date:2018-02-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857823122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist