Ken I Wood is a Pediatric Dentistry in Jonesboro, Arkansas. Ken I Wood practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Ken I Wood is 1548360001. The last update date is 2007-07-08.
Ken I Wood's current location address is Po Box 1369, Jonesboro, Arkansas. You can contact this provider via phone number 8709315437 and fax number 8709319781. The mailing address for Ken I Wood is Po Box 1369, Jonesboro, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ken I Wood |
|---|---|
| Address | Po Box 1369, Jonesboro, Arkansas |
| Phone Number | 8709315437 |
| Fax Number | 8709319781 |
| Sole Proprietor | N |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1548360001 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1369 |
|---|---|
| City | Jonesboro |
| State | Arkansas (AR) |
| Post Code | 724031369 |
| Phone Number | 8709315437 |
| Fax Number | 8709319781 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2738 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 828134 | UNITED CONCORDIA | ||
| 59239 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Ken I Wood by the Centers for Medicare & Medicaid Services?
The Ken I Wood has been assigned the NPI (National Provider Identifier) 1548360001. 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 Ken I Wood?
The Ken I Wood is situated at Po Box 1369, in the city of Jonesboro, state of AR, with the zip code 724031369.
What is Ken I Wood's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ken I Wood is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When did the Ken I Wood receive its 1548360001?
The Ken I Wood was issued its 1548360001 on 2006-09-25, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Ken I Wood most recently updated or revised?
The details related to Ken I Wood, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.