Provider Demographics
NPI:1043369127
Name:WOOD, ROSEMARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 STATE RT 284
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SUSSEX
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-3417
Mailing Address - Country:US
Mailing Address - Phone:973-875-7127
Mailing Address - Fax:
Practice Address - Street 1:199 STATE RT 284
Practice Address - Street 2:SUITE 400
Practice Address - City:SUSSEX
Practice Address - State:NJ
Practice Address - Zip Code:07461-3417
Practice Address - Country:US
Practice Address - Phone:973-875-7127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16689122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist