DR. WOODSTOCK TOM DMD
NPI 1164819108
Dentist - General Practice in Las Vegas, NV

Active since April 16, 2015
4318 S EASTERN AVE, LAS VEGAS, NV 89119(702) 736-6119 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Woodstock Tom Dmd NPPES

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

DR. WOODSTOCK TOM DMD (NPI 1164819108) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (6591) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1164819108
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WOODSTOCK TOMCredential: DMD
Location Address4318 S EASTERN AVELas Vegas, NV 89119-6016
Mailing Address4318 S Eastern AveLas Vegas, NV 89119-6016 · (702) 736-6119
Sole ProprietorNo
Enumeration DateApril 16, 2015
Last NPPES UpdateJune 17, 2015
NPI 1164819108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NV · 6591
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.
4318 S EASTERN AVE, Las Vegas, NV 89119

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
4318 S EASTERN AVE
LAS VEGAS, NV 89119
Dentist (General Practice)
4318 S EASTERN AVE
LAS VEGAS, NV 89119
Dentist
4318 S EASTERN AVE
LAS VEGAS, NV 89119

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 Woodstock Tom's NPI number?

The NPI number for Woodstock Tom is 1164819108. It was assigned to this individual provider in the NPPES registry on April 16, 2015.

Where is Woodstock Tom located?

Woodstock Tom practices at 4318 S Eastern Ave, Las Vegas, NV 89119. The listed phone number is (702) 736-6119.

What is Woodstock Tom's specialty?

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

What insurance does Woodstock Tom accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Woodstock Tom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Woodstock Tom was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.