Provider Demographics
NPI:1760224349
Name:WOODS, ROBERT DREW (DMD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DREW
Last Name:WOODS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RIDGEWAY ST
Mailing Address - Street 2:
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-1516
Mailing Address - Country:US
Mailing Address - Phone:207-694-5631
Mailing Address - Fax:
Practice Address - Street 1:2 DENTAL AVE
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-3818
Practice Address - Country:US
Practice Address - Phone:207-282-6185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN5153122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist