Provider Demographics
NPI:1518226042
Name:WOOD, ERIC KEVIN JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:KEVIN
Last Name:WOOD
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 E EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-1127
Mailing Address - Country:US
Mailing Address - Phone:615-601-6226
Mailing Address - Fax:330-208-1101
Practice Address - Street 1:881 E EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-1127
Practice Address - Country:US
Practice Address - Phone:330-208-1100
Practice Address - Fax:330-208-1101
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.0245311223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry