Wood, Jeffery Shane
Wood, Jeffery Shane is an sole proprietor health care provider with primary practice located at 700 Wildwood Plantation Dr , Valdosta GA 31602-3606. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Wood, Jeffery Shane can be contacted via phone (229) 241-1010.Contact Information
Primary practice address
700 Wildwood Plantation Dr
Valdosta GA 31602-3606
Phone: (229) 241-1010
Fax: (229) 293-0900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN011649 | Georgia |
Profile Details
| NPI number | 1992848659 |
|---|---|
| LBN Legal business name | Wood, Jeffery Shane |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992848659 | NPPES |
| Georgia | MEDICAID | 000752067A | |
| Georgia | Other | 582312881 |
Popular Providers
-
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Lawrence, Martha M.
1395 Center Dr # D7-6A Ufcd Oral And Maxillofacial Surgery, Box 100416, Gainesville FL 32610-0416 -
Brillman, Robert
4 Ridings Way , West Chester PA 19382-7488 -
Lalani, Zahid S
8687 Louetta Rd Suite 100, Spring TX 77379-6672 -
Alvarado, Fernando
3205 Wildwood Plantation Dr , Valdosta GA 31605-1042 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Tawadros, Atef Milad
116 W 3Rd St , Mishawaka IN 46544-2024 -
Dasher, Joseph William
115 W Park Ave , Valdosta GA 31602-2543