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Contact Information

CHARLES G. WOOD D.M.D.P.A.
1213 BROAD AVE # STD-1
GULFPORT, MS39501-2475
 Phone: 228-863-5171
 Fax: 228-863-5233
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for CHARLES G. WOOD D.M.D.P.A.

NPI # 1063430924
LBN Legal business name CHARLES G. WOOD D.M.D.P.A.
Authorized official CHARLES WOOD - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MS License # 2041-83
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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