Eric Wood, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

11125788-9924 Issued in UT

Practice address

3610 N University Ave Ste 150
Provo, UT 84604-4444

Phone

(801) 341-9759

NPI assigned

May 21, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 26, 2026 through Mar 26, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880
  NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Cedar City, UT
  • NPI 1659685980
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Southwest Oral and Facial Surgery Inc

  • Oral and Maxillofacial Surgery Clinic/Center
  • South Jordan, UT
  • NPI 1821400532
  NPD (past)
• Utah Surgical Arts

  • Oral and Maxillofacial Surgery Clinic/Center
  • Provo, UT
  • NPI 1275722357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1346629441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044444",
            "telephone_number": "801-341-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY AVE STE 150",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044444",
            "telephone_number": "801-341-9759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 N 12th St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850062837",
            "country_code": "US",
            "telephone_number": "602-521-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11748 S 3600 W Ste 1",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840955922",
            "country_code": "US",
            "telephone_number": "801-938-3412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ERIC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "11125788-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Wood
• Christopher R Wood, M.D.
• Cindy W Wood, RN
• David S Wood, PH.D.
• Emma Wood
• Hunter Wood
• Kent Wood
• Leslie Wood
• Melissa Lynne Wood, S.S.W
• Scott Wood, CMHC

• Oral and Maxillofacial Surgery (Dentist) in Provo, UT
• Providers in Provo, UT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.