Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon Michael Woodruff, DDS

Individual provider Dentist · NPI 1366435331

Jon Michael Woodruff, DDS is a Dentist in Philadelphia, Pennsylvania. Licensed in Kansas and Pennsylvania. Registered with an NPI since 2005.

Licensed in
KS, PA
In the registry since
2005
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

861 E Allegheny Ave
Philadelphia, PA 19134-2401
Phone: (215) 302-3156
Fax: (215) 329-2369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS044372 (PA)
Dentist Taxonomy 122300000X · Licence 6814 (KS)
Dentist Taxonomy 122300000X · Licence DS044372 (PA)

Record details

NPI number1366435331
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025

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