Provider Demographics
NPI:1801439252
Name:WOODROW FAMILY DENTISTRY PC
Entity type:Organization
Organization Name:WOODROW FAMILY DENTISTRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:917-932-3247
Mailing Address - Street 1:739 WOODROW RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-2221
Mailing Address - Country:US
Mailing Address - Phone:718-317-8524
Mailing Address - Fax:929-624-2512
Practice Address - Street 1:739 WOODROW RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-2221
Practice Address - Country:US
Practice Address - Phone:718-317-8524
Practice Address - Fax:929-624-2512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty