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RICHARD M. A. WOOD DMD PA NPI 1508012246


NPI Information

NPI: 1508012246
Provider Name: RICHARD M. A. WOOD DMD, PA
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1701 US HIGHWAY 27 N
AVON PARK, FL
ZIP 33825
Phone: (863) 453-3258
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RICHARD M. A. WOOD DMD, PA is a dental clinic center in Avon Park, FL. RICHARD M. A. WOOD DMD, PA NPI is 1508012246. The provider is registered as an organization entity type.

The provider's business location address is:

1701 US HIGHWAY 27 N
AVON PARK, FL
ZIP 33825-504
Phone: (863) 453-3258
Fax: (863) 452-0460

The provider's authorized official is Richard M. A. Wood .
The authorized official title is President and has the following contact phone number (863) 453-3258.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalDN013202FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11467589937OTHERFLORIDANPPES(INDIVIDUAL)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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