Tim & Randy Woodruff DDS Ptrs
NPI 1104077916ActiveOrganization· Dentist, General Practice· Jonesboro, AR
Dentist, General Practice in Jonesboro, Arkansas, registered in NPPES in October 2008. The authorized official on file is Timothy C. Woodruff, D.D.S., Dr.
Overview
| NPI | 1104077916 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2008 |
| Last updated in NPPES | Oct 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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