Individual provider · Type 1 NPI

Gerald A. Woodworth, DMD

General Practice Dentistry · Rupert, ID

NPI number 1053341644 Active

About NPI 1053341644

Gerald A. Woodworth, DMD's National Provider Identifier is 1053341644, issued on Jul 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Rupert, ID. The record was last updated on Jul 8, 2007.