Jon Michael Woodruff is a Philadelphia, Pennsylvania based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jon Michael Woodruff is DS044372 for Dentistry in Pennsylvania. His current practice location is 861 E Allegheny Ave, Philadelphia. Patients can reach him at 215-302-3156.
Jon Michael Woodruff is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jon Michael Woodruff speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Jon Michael Woodruff
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
861 E Allegheny Ave, Philadelphia, Pennsylvania, 19134-2401
Phone:
215-302-3156
Fax:
215-329-2369
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1366435331
NPI Enumeration Date:
25 Aug, 2005
NPI Last Update On:
24 Apr, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jon Michael Woodruff are as mentioned below.
License Number
Specialization
State
Status
DS044372
Dentistry
Pennsylvania
Primary
6814
Dentistry
Kansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jon Michael Woodruff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
017363
Other
Kansas
BLUE CROSS BLUE SHIELD
100225410-B
Medicaid
Kansas
000781486
Other
UNITED CONCORDIA OF KS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
861 E Allegheny Ave, Philadelphia, Pennsylvania
Zip:
19134-2401
Phone Number:
215-302-3156
Fax Number:
215-329-2369
Patients can reach Jon Michael Woodruff at 861 E Allegheny Ave, Philadelphia, Pennsylvania or can call to book an appointment on 215-302-3156. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.