DR. CHARLES G WOOD (NPI# 1588686067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588686067 |
| Entity Type | Individual |
| Full Name | DR. CHARLES G WOOD |
| Credential | D.M.D. |
| Practice Address |
1213 Broad Ave Ste 1 Gulfport MS 39501-2475 |
| Practice Telephone | 2288635171 |
| Practice Fax Number | 2288635233 |
| Mailing Telephone | 2288635171 |
| Mailing Fax Number | 2288635233 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2041-83 | MS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730246828 | Charles Douglas Wood | Surgery | 501 Yuma Dr, Broken Arrow, OK 74011-7216 | 2007-01-02 |
| 1861574097 | Charles Senter Wood Jr. | Dentist | 715 Calvin Avery Dr, West Memphis, AR 72301 | 2006-10-19 |
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1104845049 | Charles C Wood | Physician Assistant | 2636 Loudoun St, Virginia Beach, VA 23456-2438 | 2006-07-19 |
| 1225024797 | Charles Michael Wood | Optometrist | 102 N 6th St, Rockport, IN 47635-1460 | 2005-09-21 |
| 1528064144 | Charles Owen Wood | Neurological Surgery | 20 Burdick Expy. W., Minot, ND 58701-4493 | 2005-06-28 |
| 1295738169 | Charles Conley Wood | Dentist | 620 Montana Ave, Santa Monica, CA 90403-1402 | 2005-05-24 |
| 1356834766 | Charles Steven Wood Jr. | Nurse Practitioner | 307 S 13th Ave, Laurel, MS 39440-4342 | 2018-06-11 |
| 1780828046 | Charles Wood | Pediatrics | 4020 N Roxboro St, Durham, NC 27704-2120 | 2009-04-29 |
| 1962525956 | Charles John Wood | Social Worker | 1212 N California St, Stockton, CA 95202-1552 | 2007-04-06 |
| Street Address |
1213 BROAD AVE STE 1 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| 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 |
|---|---|---|---|---|
| 1932706306 | Brenyatta Travis | Dentist | 28 Pass Rd Ste 300, Gulfport, MS 39507-3244 | 2020-10-07 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1477086585 | Jason Franklin Olaivar | Dentist | 1311 Beards Cove, Gulfport, MS 39507-3600 | 2017-04-05 |
| 1417352204 | Charlton Bryan Blakeney D.m.d. | Dentist | 12182 Highway 49, Gulfport, MS 39503-3125 | 2014-10-23 |
| 1700131331 | Anna Rose Snyder Rider | Dentist | 410 Security Sq, Gulfport, MS 39507-1952 | 2012-07-19 |
| 1174829501 | Kinyatta Bennett | Dentist | 13179 Three Rivers Rd, Gulfport, MS 39503-4944 | 2011-02-02 |
| 1033412176 | Toothdocs, LLC | Dentist | 382 Courthouse Rd, Suite B, Gulfport, MS 39507-1863 | 2010-12-13 |
| 1891985875 | Mike C Mccabe | Dentist | 605 16th St, Gulfport, MS 39507-1302 | 2007-07-26 |
| 1376765016 | David Ricardo Mendoza | Dentist | 5028 Gulfport Blvd S, Gulfport, FL 33707-4942 | 2007-05-03 |
| 1104957422 | Hillcrest Dental Group, P.a. | Dentist | 382 Courthouse Rd Ste B, Gulfport, MS 39507-1864 | 2007-03-08 |
| Find all providers in GULFPORT | ||||
Please comment or provide details below to improve the information on DR. CHARLES G WOOD.
| 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.