Provider Demographics
NPI:1891317491
Name:E EDWARD HOOD DDS PC
Entity Type:Organization
Organization Name:E EDWARD HOOD DDS PC
Other - Org Name:HOOD DENTAL CARE WATSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-667-0037
Mailing Address - Street 1:32871 LA HIGHWAY 16
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70706-0960
Mailing Address - Country:US
Mailing Address - Phone:225-667-1121
Mailing Address - Fax:225-380-1710
Practice Address - Street 1:32871 LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-0960
Practice Address - Country:US
Practice Address - Phone:225-667-1121
Practice Address - Fax:225-380-1710
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:E EDWARD HOOD DDS PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-18
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty