Provider Demographics
NPI:1669412987
Name:HOOD, JEFFREY R (DDS)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:R
Last Name:HOOD
Suffix:
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 1:1005 N EVERGREEN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1485
Mailing Address - Country:US
Mailing Address - Phone:509-928-4191
Mailing Address - Fax:509-921-5942
Practice Address - Street 1:1005 N EVERGREEN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1485
Practice Address - Country:US
Practice Address - Phone:509-928-4191
Practice Address - Fax:509-921-5942
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA76871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC5029475OtherDEPT OF SOCIAL & HEALTH S
PA264458OtherUNITED CONCORDIA INSURANC