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Ken I Wood, DDSMS
Pediatric Dentist in Jonesboro, Arkansas
NPI 1548360001

Ken I Wood is a Pediatric Dentist based in Jonesboro, AR and is specialized in Pediatric Dentistry. Ken I Wood practices in Jonesboro, AR and has the professional credentials of DDSMS. The NPI Number for Ken I Wood is 1548360001 and holds a License No. 2738 (Arkansas).

The current practice location address for Ken I Wood is 2702 Culberhouse, Jonesboro, AR and can be reached out via phone at 870-931-5437 and via fax at 870-931-9781.

Location: 2702 Culberhouse, Jonesboro, AR, 72403-1369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548360001
Provider Name
Ken I Wood
Credential
DDSMS
Provider Entity Type
Individual
Gender
Male
Address
2702 Culberhouse, Jonesboro, AR, 72403-1369
Phone Number
870-931-5437
Fax Number
870-931-9781
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
828134 01 UNITED CONCORDIA
59239 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2702 Culberhouse
City
Jonesboro
State
Arkansas
Zip
72401
Phone Number
870-931-5437
Fax Number
870-931-9781
person
Provider Business Mailing Address Details
Address
2702 Culberhouse
City
Jonesboro
State
Arkansas
Zip
72401
Phone Number
870-931-5437
Fax Number
870-931-9781
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
2738 (Arkansas)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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