| Charles G. Wood D.m.d.p.a. | |
|
1213 Broad Ave # Std-1 Gulfport MS 39501-2475 | |
| (228) 863-5171 | |
| (228) 863-5233 |
| Full Name | Charles G. Wood D.m.d.p.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1213 Broad Ave # Std-1, Gulfport, Mississippi |
| Authorized Official Name and Position | Charles G Wood (DENTIST) |
| Authorized Official Contact | 2288635171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles G. Wood D.m.d.p.a. 1213 Broad Ave # Std-1 Gulfport MS 39501-2475 Ph: (228) 863-5171 | Charles G. Wood D.m.d.p.a. 1213 Broad Ave # Std-1 Gulfport MS 39501-2475 Ph: (228) 863-5171 |
| NPI Number | 1063430924 |
|---|---|
| Provider Enumeration Date | 07/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063430924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2041-83 (Mississippi) | Primary |
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