Provider Demographics
NPI:1740276369
Name:WOODS, NANCY LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:LEE
Last Name:WOODS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:LEE
Other - Last Name:SEITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3624 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405-2936
Mailing Address - Country:US
Mailing Address - Phone:262-633-1090
Mailing Address - Fax:
Practice Address - Street 1:3624 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53405-2936
Practice Address - Country:US
Practice Address - Phone:262-633-1090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2813122300000X
MN9690122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist