| Eric K. Wood, Sr., Dds | |
|
206 Rivergate Pkwy Suite A Goodlettsville TN 37072-2033 | |
| (615) 859-9994 | |
| (615) 859-9939 |
| Full Name | Eric K. Wood, Sr., Dds |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 206 Rivergate Pkwy, Goodlettsville, Tennessee |
| Authorized Official Name and Position | Eric Kevin Wood (PEDIATRIC DENTIST) |
| Authorized Official Contact | 6158599994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric K. Wood, Sr., Dds 206 Rivergate Pkwy Suite A Goodlettsville TN 37072-2033 Ph: (615) 859-9994 | Eric K. Wood, Sr., Dds 206 Rivergate Pkwy Suite A Goodlettsville TN 37072-2033 Ph: (615) 859-9994 |
| NPI Number | 1619141801 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619141801 | NPI | - | NPPES |
| 3225308 | Medicaid | TN | |
| DS0000003715 | Other | TN | TN STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS0000003715 (Tennessee) | Primary |
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