Provider Demographics
NPI:1386638856
Name:WOOD, JOHN T (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:WOOD
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:13601 PRESTON RD
Mailing Address - Street 2:CARILLON TOWERS WEST, STE 320W
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-4911
Mailing Address - Country:US
Mailing Address - Phone:972-661-1094
Mailing Address - Fax:972-386-5614
Practice Address - Street 1:13601 PRESTON RD
Practice Address - Street 2:CARILLON TOWERS WEST, STE 320W
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-4911
Practice Address - Country:US
Practice Address - Phone:972-661-1094
Practice Address - Fax:972-386-5614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX187891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice