Provider Demographics
NPI:1952696932
Name:WOODARD, MARGARET MCKENZIE RAYMOND (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:MCKENZIE RAYMOND
Last Name:WOODARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ALBEMARLE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-1612
Mailing Address - Country:US
Mailing Address - Phone:804-387-7108
Mailing Address - Fax:843-871-0453
Practice Address - Street 1:8120 PLEASANT GROVE RD
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23116-2343
Practice Address - Country:US
Practice Address - Phone:804-915-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2024-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCDGD.8200122300000X
VA0401413208122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist