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DR. GERALD A WOODWORTH D.M.D.
NPI 1053341644
Dentist - General Practice in Rupert, ID

Active since July 03, 2006
301 SCOTT AVE, RUPERT, ID 83350(208) 436-6406(208) 436-9678 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Gerald A Woodworth D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALD A WOODWORTH D.M.D. (NPI 1053341644) is an individual general practice provider in Rupert, Idaho, licensed in Idaho (D-1363) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1053341644
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERALD A WOODWORTHCredential: D.M.D.
Location Address301 SCOTT AVERupert, ID 83350-1800
Mailing AddressPo Box 338Rupert, ID 83350-0338 · (208) 436-6406 · Fax (208) 436-9678
Phone(208) 436-6406
Fax(208) 436-9678
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1053341644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in ID · D-1363
Definition

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.

301 SCOTT AVE, Rupert, ID 83350
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Other Identifiers 4

Other000010009632ID · Regence Blueshield
Other560823United Concordia
Other6F696ID · Blue Cross Of Idaho
Other1363ID · Delta Dental

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN R GARRARD D.D.S.
Dentist (General Practice)
301 SCOTT AVE
RUPERT, ID 83350
Minidoka County (208) 436-6406
DR. CHARLE A WARREN D.D.S.
Dentist (General Practice)
301 SCOTT AVE
RUPERT, ID 83350
Minidoka County (208) 436-6406
DOCTORS GARRARD AND WAYMENT DENTISTS PLLC
Dentist (General Practice)
301 SCOTT AVE, STE #3
RUPERT, ID 83350
Minidoka County (208) 436-6406
DR. ROBERT P WAYMENT DDS
Dentist (General Practice)
301 SCOTT AVE, STE#3
RUPERT, ID 83350
Minidoka County (208) 436-6406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerald Woodworth's NPI number?

The NPI number for Gerald Woodworth is 1053341644. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Gerald Woodworth located?

Gerald Woodworth practices at 301 Scott Ave, Rupert, ID 83350. The listed phone number is (208) 436-6406.

What is Gerald Woodworth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gerald Woodworth was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.