Mark David Wood is a Endodontics in Lafayette, Colorado. Mark David Wood practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Mark David Wood is 1992703102. The last update date is 2023-05-11.
Mark David Wood's current location address is 1140 W South Boulder Rd Ste 103, Lafayette, Colorado. You can contact this provider via phone number 3036049663 and fax number 3036669213. The mailing address for Mark David Wood is 1140 W South Boulder Rd Ste 103, Lafayette, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Wood |
|---|---|
| Address | 1140 W South Boulder Rd Ste 103, Lafayette, Colorado |
| Phone Number | 3036049663 |
| Fax Number | 3036669213 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1992703102 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2023-05-11 |
Provider Mailing Address Detail
| Address | 1140 W South Boulder Rd Ste 103 |
|---|---|
| City | Lafayette |
| State | Colorado (CO) |
| Post Code | 800268910 |
| Phone Number | 3036049663 |
| Fax Number | 3036669213 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 7818 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1402935 | PA | UNITED CONCORDIA ID # |
Post Comment/ Review Below
What is the unique identifier code issued to Mark David Wood by the Centers for Medicare & Medicaid Services?
The Mark David Wood has been assigned the NPI (National Provider Identifier) 1992703102. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark David Wood?
The Mark David Wood is situated at 1140 W South Boulder Rd Ste 103, in the city of Lafayette, state of CO, with the zip code 800268910.
What is Mark David Wood's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark David Wood is Endodontics, and the taxonomy classification code that categorizes this area of expertise is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992703102 to Mark David Wood?
The Centers for Medicare & Medicaid Services originally issued the 1992703102 to Mark David Wood on 2005-07-12.
When was the information pertaining to Mark David Wood most recently updated or revised?
The details related to Mark David Wood, including its address, specialty, and other relevant information, were last updated or revised on 2023-05-11.