Provider Demographics
NPI:1023138963
Name:WOODS, ELENORA (DDS)
Entity type:Individual
Prefix:DR
First Name:ELENORA
Middle Name:
Last Name:WOODS
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 1:4217 LINEN CREST WAY
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-6910
Mailing Address - Country:US
Mailing Address - Phone:423-899-1424
Mailing Address - Fax:423-892-2223
Practice Address - Street 1:6425 BONNY OAKS DR
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-6003
Practice Address - Country:US
Practice Address - Phone:423-892-3545
Practice Address - Fax:423-892-2223
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS006929122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist