ANDREA DAVIS WOOD (NPI# 1285745505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285745505 |
Entity Type | Individual |
Full Name | ANDREA DAVIS WOOD |
Credential | DMD |
Practice Address |
1536 Eisenhower Pkwy Macon GA 31206-3130 |
Practice Telephone | 4787814333 |
Practice Fax Number | 4787814331 |
Mailing Telephone | 4787814333 |
Mailing Fax Number | 4787814331 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2015-03-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DN011029 | GA | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | AVESIS | 100759 | 01 |
GA | DENTAQUEST | 9180606 | 01 |
GA | UNITED CONCORDIA | 1429244 | 01 |
GA | 000471875 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477022861 | Andrea Wood | Counselor | 3539 Illinois Ave, Saint Louis, MO 63118-4011 | 2018-11-15 |
1295228500 | Andrea M Wood | Speech-Language Pathologist | 400 Se 2nd St, Blanchard, OK 73010-5529 | 2018-06-11 |
1942798160 | Andrea Wood | Technician | 1523 F St Ne Apt E34, Washington, DC 20002-4625 | 2018-04-24 |
1700282431 | Andrea A Wood | Pharmacist | 3207 80th St, Suite 100, Kenosha, WI 53142-4908 | 2014-11-06 |
1225461114 | Andrea C Wood | Physical Therapist | 425 Centre St, Newton, MA 02458-2063 | 2013-08-14 |
1215277991 | Andrea Elizabeth Wood | Physical Therapist | 317 Dakota Dunes Blvd, Ste. J, Dakota Dunes, SD 57049-5341 | 2013-02-18 |
1851677561 | Andrea Wood | Specialist | 3401 S Lafayette St, Englewood, CO 80113-2926 | 2011-10-26 |
1003048919 | Andrea Wood | Counselor | 435 Gold Pass Hts, Colorado Springs, CO 80906-3882 | 2009-08-12 |
1477784130 | Andrea L Wood | Physical Therapist | 2701 171st Pl Ne, Suite 203, Marysville, WA 98271-4739 | 2009-07-29 |
1063695427 | Andrea Wood | Registered Nurse | 1947 Center St, 2nd Floor, Berkeley, CA 94704-1169 | 2007-12-07 |
Street Address |
1536 EISENHOWER PKWY |
City | MACON |
State | GA |
Zip Code | 31206-3130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851366462 | Youth Dentistry of Macon, PC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206-3130 | 2006-02-18 |
1073063228 | Eisenhower Parkway Dental Group, LLC | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206 | 2016-10-12 |
1326250762 | Scott Carl Farrell | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206-3130 | 2007-05-06 |
1457497414 | Tara Lynn Brooks | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206-3130 | 2007-01-29 |
1154364396 | Phoeby K Lewis | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206-3130 | 2006-06-14 |
1023083631 | Michelle S Gwyn | Dentist | 1536 Eisenhower Pkwy, Macon, GA 31206-3130 | 2006-02-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992267892 | Andel Anthony Higgins | Family Medicine | 3780 Eisenhower Parkway, Macon, GA 31206 | 2019-04-01 |
1437651924 | Amanda Mckenzie | Clinic/Center | Us Renal Care 657 Hemlock Street, Macon, GA 31206 | 2018-03-01 |
1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
1043683527 | Autumn Anderson Lucas | Nurse Practitioner | 100 University Parkway, Macon, GA 31206 | 2015-11-05 |
1306273651 | Monique Whipple | Speech-Language Pathologist | 164 Summer Grove Lane, Macon, GA 31206 | 2013-10-02 |
1710956750 | Total Renal Care Inc | Clinic/Center | 2494 2nd St, Macon, GA 31206 | 2006-03-14 |
1396710828 | Ruth Macphie Hagemann | Counselor | 100 University Pkwy, Macon, GA 31206 | 2006-02-20 |
1609861129 | Rickey Harton Jr. | Optometrist | 3353 Mercer University Drive, Macon, GA 31206 | 2005-09-12 |
1104453711 | Lise Wendy Forestal | Student in an Organized Health Care Education/Training Program | 3780 Eisenhower Parkway, Macon, GA 31206 | 2020-03-24 |
1346702172 | Alayna Dukes | Family Medicine | 3780 Eisenhower Pkwy, Macon, GA 31206 | 2019-04-01 |
Find all providers in zip 31206 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891224861 | Joshua Buckner | Dentist | 4562 Forsyth Rd # 1, Macon, GA 31210-0510 | 2017-06-05 |
1679029938 | Gamble Dentalsmart, PC | Dentist | 236 Tom Hill Sr. Blvd., Macon, GA 31210-1815 | 2016-08-28 |
1295189595 | Providence Dental LLC | Dentist | 225 N Macon St, Macon, GA 31210-6562 | 2016-04-22 |
1083074868 | Macon Dentist Office, PC | Dentist | 206 Tom Hill Sr Blvd, Suite 106, Macon, GA 31210 | 2016-03-07 |
1497001630 | Samer Mufid Othman | Dentist | 4705 Northside Dr, Suite 100, Macon, GA 31210-1698 | 2012-07-25 |
1881959518 | Leigh Underwood Bennett | Dentist | 4226 Hartley Bridge Rd Ste 102, Macon, GA 31216 | 2012-07-09 |
1285912527 | Steven N Golubow | Dentist | 6443 Zebulon Rd, Suite 3a and B, Macon, GA 31220-7638 | 2011-08-03 |
1497981658 | Mitchell Dental Clinic, Inc. | Dentist | 59 Frontage Rd N, Macon, MS 39341-2372 | 2009-06-02 |
1740496280 | John N Bowman Ddspc | Dentist | 133 Lamar St, Macon, GA 31204-3007 | 2007-05-14 |
1407060452 | Marion Hall Gray | Dentist | 102 W 8th St, Macon, MS 39341-2624 | 2007-05-09 |
Find all providers in MACON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.