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DR. DAVID LAWRENCE WOODRUFF D.D.S.
NPI 1710149976
Dentist in Peoria, IL

Active since June 30, 2008
2015 W GLEN AVE, SUITE 230, PEORIA, IL 61614(309) 673-4616(309) 673-6089 Get Directions Write a Review

NPPES record last updated: June 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Lawrence Woodruff D.d.s. NPPES

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

DR. DAVID LAWRENCE WOODRUFF D.D.S. (NPI 1710149976) is an individual dentist in Peoria, Illinois, licensed in Illinois (019019595) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1710149976
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. DAVID LAWRENCE WOODRUFFCredential: D.D.S.
Location Address2015 W GLEN AVE, SUITE 230Peoria, IL 61614-4690
Mailing Address2015 W Glen Ave, Suite 230Peoria, IL 61614-4690 · (309) 673-4616 · Fax (309) 673-6089
Phone(309) 673-4616
Fax(309) 673-6089
Sole ProprietorNo
Enumeration DateJune 30, 2008
✔ NPI 1710149976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019019595
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.
2015 W GLEN AVE, Peoria, IL 61614
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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.

PEORIA CHIROPRACTIC PC
Chiropractor
2015 W GLEN AVE, SUITE 220
PEORIA, IL 61614
Peoria County (309) 693-1212
KHOURY CHIROPRACTIC INC
Chiropractor
2015 W GLEN AVE, SUITE 220
PEORIA, IL 61614
Peoria County (309) 693-1212

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 David Woodruff's NPI number?

The NPI number for David Woodruff is 1710149976. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is David Woodruff located?

David Woodruff practices at 2015 W Glen Ave Suite 230, Peoria, IL 61614. The listed phone number is (309) 673-4616.

What is David Woodruff'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 David Woodruff was last updated on June 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.