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TIM & RANDY WOODRUFF DDS PTRS
NPI 1104077916
Dentist - General Practice in Jonesboro, AR

Active since October 10, 2008
2800 ENTERPRISE CV, JONESBORO, AR 72401(870) 972-8190 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tim & Randy Woodruff Dds Ptrs NPPES

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

TIM & RANDY WOODRUFF DDS PTRS (NPI 1104077916) is a healthcare organization registered as a general practice in Jonesboro, Arkansas and active in the NPI registry since October 2008. The organization lists Timothy C. Woodruff, Dr., as its authorized official.

NPPES Registry Identity

NPI1104077916
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIM & RANDY WOODRUFF DDS PTRS
Location Address2800 ENTERPRISE CVJonesboro, AR 72401-9271
Mailing Address2800 Enterprise CvJonesboro, AR 72401-9271 · (870) 972-8190
Phone(870) 972-8190
Organization SubpartNo
Authorized OfficialTimothy C. WoodruffDr. · (870) 972-8190
Enumeration DateOctober 10, 2008
✔ NPI 1104077916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2800 ENTERPRISE CV, Jonesboro, AR 72401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

ROBERT A KALOGHIROU DDS
Dentist (General Practice)
2800 ENTERPRISE CV
JONESBORO, AR 72401
Craighead County (870) 972-8190
ETHAN LEONARD
Dentist (General Practice)
2800 ENTERPRISE CV
JONESBORO, AR 72401
Craighead County (870) 761-3141
DR. ROBERT ANDREAS KALOGHIROU
Dentist
2800 ENTERPRISE CV
JONESBORO, AR 72401
Craighead County (870) 972-8190
KALOGHIROU & LEONARD, DDS, PLLC
Dentist (General Practice)
2800 ENTERPRISE CV
JONESBORO, AR 72401
Craighead County (870) 972-8190

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 Tim & Randy Woodruff Dds Ptrs's NPI number?

The NPI number for Tim & Randy Woodruff Dds Ptrs is 1104077916. It was assigned to this organization in the NPPES registry on October 10, 2008.

Where is Tim & Randy Woodruff Dds Ptrs located?

Tim & Randy Woodruff Dds Ptrs is located at 2800 Enterprise Cv, Jonesboro, AR 72401. The listed phone number is (870) 972-8190.

What is Tim & Randy Woodruff Dds Ptrs'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 Tim & Randy Woodruff Dds Ptrs was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.