Wood, Michael
Wood, Michael is an individual health care provider with primary practice located at 828 South Main Street , London KY 40741. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Wood, Michael can be contacted via phone (606) 878-7251.Contact Information
Primary practice address
828 South Main Street
London KY 40741
Phone: (606) 878-7251
Fax: (606) 878-1285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6869 | Kentucky |
| Dental Providers / Dentist | 122300000X | 6869 | Kentucky |
Profile Details
| NPI number | 1518097294 |
|---|---|
| LBN Legal business name | Wood, Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 2nd, 2012 - about 13 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 | 1518097294 | NPPES |
| Kentucky | MEDICAID | 60068699 |
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