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Jon Michael Woodruff, DDS
General Practice Dentistry in Philadelphia, Pennsylvania
NPI 1366435331

Jon Michael Woodruff is a General Practice Dentistry based in Philadelphia, PA and is specialized in General Practice. Jon Michael Woodruff practices in Philadelphia, PA and has the professional credentials of DDS. The NPI Number for Jon Michael Woodruff is 1366435331 and holds a License No. 6814 (Pennsylvania).

The current practice location address for Jon Michael Woodruff is 861 E Allegheny Ave, Philadelphia, PA and can be reached out via phone at 215-302-3156 and via fax at 215-329-2369.

Location: 861 E Allegheny Ave, Philadelphia, PA, 19134-2401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366435331
Provider Name
Jon Michael Woodruff
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
861 E Allegheny Ave, Philadelphia, PA, 19134-2401
Phone Number
215-302-3156
Fax Number
215-329-2369
Provider Enumeration Date
08/25/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
100225410-B 05 KS
017363 01 KS BLUE CROSS BLUE SHIELD
1042785600001 05 PA
000781486 01 UNITED CONCORDIA OF KS
institution
Provider Business Practice Location Address Details
Address
861 E Allegheny Ave
City
Philadelphia
State
Pennsylvania
Zip
19134-2401
Phone Number
215-302-3156
Fax Number
215-329-2369
person
Provider Business Mailing Address Details
Address
861 E Allegheny Ave
City
Philadelphia
State
Pennsylvania
Zip
19134-2401
Phone Number
215-302-3156
Fax Number
215-329-2369
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
DS044372 (Pennsylvania)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6814 (Kansas)
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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