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Dr. Gerald A Woodworth, DMD
General Practice Dentistry in Rupert, Idaho
NPI 1053341644

Gerald A Woodworth is a General Practice Dentistry based in Rupert, ID and is specialized in General Practice. Gerald A Woodworth practices in Rupert, ID and has the professional credentials of DMD. The NPI Number for Gerald A Woodworth is 1053341644 and holds a License No. D-1363 (Idaho).

The current practice location address for Gerald A Woodworth is 301 Scott Ave, Rupert, ID and can be reached out via phone at 208-436-6406 and via fax at 208-436-9678.

Location: 301 Scott Ave, Rupert, ID, 83350-0338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053341644
Provider Name
Gerald A Woodworth
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
301 Scott Ave, Rupert, ID, 83350-0338
Phone Number
208-436-6406
Fax Number
208-436-9678
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010009632 01 ID REGENCE BLUESHIELD
560823 01 UNITED CONCORDIA
1363 01 ID DELTA DENTAL
6F696 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
301 Scott Ave
City
Rupert
State
Idaho
Zip
83350-1800
Phone Number
208-436-6406
Fax Number
208-436-9678
person
Provider Business Mailing Address Details
Address
301 Scott Ave
City
Rupert
State
Idaho
Zip
83350-1800
Phone Number
208-436-6406
Fax Number
208-436-9678
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D-1363 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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