Provider Demographics
NPI:1639198039
Name:HOOD, JAMES GERARD (DDS, PS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GERARD
Last Name:HOOD
Suffix:
Gender:M
Credentials:DDS, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 NORTH PINES ROAD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-7636
Mailing Address - Country:US
Mailing Address - Phone:509-928-9100
Mailing Address - Fax:509-928-0414
Practice Address - Street 1:2510 NORTH PINES ROAD
Practice Address - Street 2:SUITE 206
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-7636
Practice Address - Country:US
Practice Address - Phone:509-928-9100
Practice Address - Fax:509-928-0414
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA54371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5777602Medicaid