Wood Dental Group, P.a.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

WOOD DENTAL GROUP, P.A.

Practice address

715 Calvin Avery
West Memphis, AR 72301

Phone

(870) 735-3601

Fax

(870) 732-9535

NPI assigned

Sep 15, 2006

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles S Wood Jr., D.D.S.NPI 1861574097

Title

Owner

Phone

(870) 735-3601

Specialties & licenses 1

Addresses

Other names 1

• Wood & Cook Dental Group Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Senter Wood Jr., DDS

  • Dentist
  • West Memphis, AR
  • NPI 1861574097
  Authorized official Same address or phone

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1508962937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CALVIN AVERY DR",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-735-3601",
            "fax_number": "870-732-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CALVIN AVERY",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "72301",
            "telephone_number": "870-735-3601",
            "fax_number": "870-732-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-735-3601",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wood & Cook Dental Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Raquel Wilson, PMHNP-BC
• Taylor Danielle Wilson
• Jasmine C Winda
• Cynthia Roy Winters, RPH
• WM Crittenden Operations LLC (West Memphis Health and Rehab)
• Charles Senter Wood Jr., DDS
• Woodridge Northeast, LLC (Perimeter Behavioral of West Memphis)
• Woodridge of West Memphis, LLC (Perimeter Behavioral Hospital of West Memphis)
• Beatrice M Woods
• Edward Woods

• Dentist in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.