Provider Demographics
NPI:1013282110
Name:WOOD, MARIA NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:NICOLE
Last Name:WOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:NICOLE
Other - Last Name:SALNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7 QUINCY PL NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2133
Mailing Address - Country:US
Mailing Address - Phone:202-450-0286
Mailing Address - Fax:
Practice Address - Street 1:105 N VIRGINIA AVE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3339
Practice Address - Country:US
Practice Address - Phone:571-317-6502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413500122300000X, 1223G0001X
MD167561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist