James Woodford, Dds | Fayetteville, NC • PECOS Search

James Woodford, Dds

Clinic/Center

Ambulatory Health Care Facilities

2550 Ravenhill Dr Ste 101, Fayetteville, NC 28303-9628

PECOS Enrollment

Based on the most recent information from CMS, provider James Woodford, Dds does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164947552
Provider Type
Organization
Full Name
James Woodford, Dds

Subpart
No
Enumeration Date
8/7/2017
Last Updated
8/7/2017

Contact Information

Practice Location

2550 Ravenhill Dr Ste 101, Fayetteville, NC 28303-9628

(910) 223-7359

Mailing Location

PO Box 87214, Fayetteville, NC 28304-7214

(910) 223-7359

Authorized Official

Woodford, James Wilson (Dentist)

Provider Taxonomies

Code	Description	License
Code 261QD0000X Primary	Description Clinic/Center Ambulatory Health Care Facilities	License 5466 North Carolina