Leatha Jean Wood is a Dentist in Grand Haven, Michigan. Leatha Jean Wood practices all healthcare services and medical treatments related to Dentist. The NPI Number for Leatha Jean Wood is 1033252119. The last update date is 2007-07-08.
Leatha Jean Wood's current location address is 17064 Robbins Rd, Grand Haven, Michigan. You can contact this provider via phone number 6168470900 and fax number 6168470917. The mailing address for Leatha Jean Wood is 17064 Robbins Rd, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leatha Jean Wood |
|---|---|
| Address | 17064 Robbins Rd, Grand Haven, Michigan |
| Phone Number | 6168470900 |
| Fax Number | 6168470917 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1033252119 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17064 Robbins Rd |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494172741 |
| Phone Number | 6168470900 |
| Fax Number | 6168470917 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 15283 |
|
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: denti |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Leatha Jean Wood by the Centers for Medicare & Medicaid Services?
The Leatha Jean Wood has been issued the NPI (National Provider Identifier) 1033252119, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leatha Jean Wood's facilities are geographically located?
The facilities of Leatha Jean Wood are physically situated at the following location: 17064 Robbins Rd, Grand Haven, MI, 494172741.
What is Leatha Jean Wood's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leatha Jean Wood is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Leatha Jean Wood receive its 1033252119 assignment from the Centers for Medicare & Medicaid Services?
The Leatha Jean Wood was assigned its 1033252119 by the Centers for Medicare & Medicaid Services on 2007-02-15.
As of what date was the information regarding Leatha Jean Wood, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leatha Jean Wood, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT