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DR. ROGER BLAIR WOODROME D.M.D.
NPI 1326169582
Dentist in Mount Vernon, IL

Active since April 03, 2007
4214 LINCOLNSHIRE DR, MOUNT VERNON, IL 62864(618) 244-6912(618) 244-7540 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Blair Woodrome D.m.d. NPPES

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

DR. ROGER BLAIR WOODROME D.M.D. (NPI 1326169582) is an individual dentist in Mount Vernon, Illinois, licensed in Illinois (0190016705) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1326169582
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ROGER BLAIR WOODROMECredential: D.M.D.
Location Address4214 LINCOLNSHIRE DRMount Vernon, IL 62864-2156
Mailing Address4214 Lincolnshire DrMount Vernon, IL 62864-2156 · (618) 244-6912 · Fax (618) 244-7540
Phone(618) 244-6912
Fax(618) 244-7540
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1326169582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 0190016705
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4214 LINCOLNSHIRE DR, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 2

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

DR. TYSON WAYNE TINSLEY D.M.D.
Dentist (General Practice)
4214 LINCOLNSHIRE DR
MOUNT VERNON, IL 62864
Jefferson County (618) 244-6912
DR. LINCOLN C WOODROME DMD
Dentist
4214 LINCOLNSHIRE DR
MOUNT VERNON, IL 62864
Jefferson County (618) 242-7989

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 Roger Woodrome's NPI number?

The NPI number for Roger Woodrome is 1326169582. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Roger Woodrome located?

Roger Woodrome practices at 4214 Lincolnshire Dr, Mount Vernon, IL 62864. The listed phone number is (618) 244-6912.

What is Roger Woodrome's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Roger Woodrome was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.