Ken Wood, D.D.S. M.S. Childrens Dentistry

LBN: Ken Wood, D.D.S. M.S. Childrens Dentistry
Ken Wood, D.D.S. M.S. Childrens Dentistry is an health care organization with primary practice located at 2702 S Culberhouse St Suite Q, Jonesboro AR 72401-7132. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Ken Wood, D.D.S. M.S. Childrens Dentistry can be contacted via phone (870) 931-5437, or through Wood, Kenneth I via phone (870) 931-5437.

Contact Information

Primary practice address
2702 S Culberhouse St Suite Q Jonesboro AR 72401-7132
Fax: (870) 931-9781
Website:
Authorized official contact:
Name: Wood, Kenneth I D.D.S., M.S.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 2738 Arkansas

Profile Details

NPI number 1790909752
LBN Legal business name Ken Wood, D.D.S. M.S. Childrens Dentistry
DBA Doing business as
Authorized official Wood, Kenneth I D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Jul 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790909752 NPPES
Arkansas Other 828134 UNITED CONCORDIA
Arkansas Other 59239 UNITED CONCORDIA

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