Individual provider · Type 1 NPI

Jon Michael Woodruff, DDS

General Practice Dentistry · Philadelphia, PA

NPI number 1366435331 Active

Practice location

861 E Allegheny Ave
Philadelphia, PA 19134-2401

Call (215) 302-3156 Map

Fax (215) 329-2369

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6814 (KS)
Dentist 122300000XDS044372 (PA)
General Practice Dentistry Primary 1223G0001XDS044372 (PA)

General Practice Dentistry: 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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About NPI 1366435331

Jon Michael Woodruff, DDS's National Provider Identifier is 1366435331, issued on Aug 25, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 31, 2025.