Wood, Fred Dickson

Wood, Fred Dickson is an sole proprietor health care provider with primary practice located at 63 Main St , Wellsboro PA 16901-1567. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Wood, Fred Dickson can be contacted via phone (570) 724-9663.

Contact Information

Primary practice address
63 Main St Wellsboro PA 16901-1567
Phone: (570) 724-9663
Fax: (570) 724-2960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS015975L Pennsylvania

Profile Details

NPI number 1811026206
LBN Legal business name Wood, Fred Dickson
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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