Provider Demographics
NPI:1295415750
Name:WOOD, SAMMI (DMD)
Entity type:Individual
Prefix:DR
First Name:SAMMI
Middle Name:
Last Name:WOOD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 BERWICK CT UNIT A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8588
Mailing Address - Country:US
Mailing Address - Phone:941-357-0367
Mailing Address - Fax:
Practice Address - Street 1:1104 W VERNON AVE
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-3616
Practice Address - Country:US
Practice Address - Phone:252-523-4151
Practice Address - Fax:252-527-0738
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13396122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist