| Ken Wood, D.d.s. M.s. Childrens Dentistry | |
|
2702 S Culberhouse St Suite Q Jonesboro AR 72401-7132 | |
| (870) 931-5437 | |
| (870) 931-9781 |
| Full Name | Ken Wood, D.d.s. M.s. Childrens Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2702 S Culberhouse St, Jonesboro, Arkansas |
| Authorized Official Name and Position | Kenneth I Wood (DOCTOR) |
| Authorized Official Contact | 8709315437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Wood, D.d.s. M.s. Childrens Dentistry Po Box 1369 Jonesboro AR 72403-1369 Ph: (870) 931-5437 | Ken Wood, D.d.s. M.s. Childrens Dentistry 2702 S Culberhouse St Suite Q Jonesboro AR 72401-7132 Ph: (870) 931-5437 |
| NPI Number | 1790909752 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790909752 | NPI | - | NPPES |
| 828134 | Other | AR | UNITED CONCORDIA |
| 59239 | Other | AR | ARKANSAS BLUE CROSS BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2738 (Arkansas) | Primary |
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