| Wood Dental Group, P.a. | |
|
715 Calvin Avery West Memphis AR 72301 | |
| (870) 735-3601 | |
| (870) 732-9535 |
| Full Name | Wood Dental Group, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 715 Calvin Avery, West Memphis, Arkansas |
| Authorized Official Name and Position | Charles S Wood (OWNER) |
| Authorized Official Contact | 8707353601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood Dental Group, P.a. 715 Calvin Avery Dr West Memphis AR 72301 Ph: (870) 735-3601 | Wood Dental Group, P.a. 715 Calvin Avery West Memphis AR 72301 Ph: (870) 735-3601 |
| NPI Number | 1508962937 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 10/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508962937 | NPI | - | NPPES |
| 101993608 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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