DR. ROBERT J WOOD (NPI# 1679776603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679776603 |
Entity Type | Individual |
Full Name | DR. ROBERT J WOOD |
Credential | DDS MD |
Practice Address |
11565 Sw Durham Rd Suite 100 Tigard OR 97224-3553 |
Practice Telephone | 5037475806 |
Practice Fax Number | 5037477946 |
Mailing Telephone | 5037475806 |
Mailing Fax Number | 5037477946 |
Enumeration Date | 2007-06-07 |
Last Update Date | 2014-08-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
5220 | LA | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
MD 26175 | OR | Dental Providers |
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D8674 | OR | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396203378 | Robert William Wood | Student in an Organized Health Care Education/Training Program | 2159 Parkwood Dr, Wall Township, NJ 07719-9514 | 2019-03-07 |
1619228186 | Robert Daniel Wood | Nurse Practitioner | 411 E 450 S, Santaquin, UT 84655-8059 | 2012-09-25 |
1376890749 | Robert F Wood | Physical Medicine & Rehabilitation | 5101 Folse Dr, Metairie, LA 70006-1022 | 2012-08-05 |
1710216445 | Robert W Wood | Internal Medicine | 3408 S King St, Seattle, WA 98144-2653 | 2009-12-08 |
1194971952 | Robert Adams Wood | Dentist | 11607 Brae Vly, San Antonio, TX 78249-3852 | 2008-08-13 |
1992973150 | Robert William Wood Jr. | Plastic Surgery | 3000 S Ih 35 Ste 330, Austin, TX 78704-6536 | 2008-02-11 |
1205040250 | Robert W. Wood | Dentist | 1311 11th St W, Billings, MT 59102-4205 | 2007-05-09 |
1548488034 | Robert Neal Wood | Technician/Technologist | 570 Ave K Southeast, Winter Haven, FL 33880-4203 | 2007-04-23 |
1225155161 | Robert Wood | Dentist | 5521 Greene St, Philadelphia, PA 19144-2805 | 2007-03-24 |
1619985967 | Robert A. Wood | Dentist | 10420 Southern Maryland Blvd, Dunkirk, MD 20754-2709 | 2006-08-03 |
Street Address |
11565 SW DURHAM RD SUITE 100 |
City | TIGARD |
State | OR |
Zip Code | 97224-3553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669474466 | Brandon Jason Schwindt | Dentist | 11565 Sw Durham Rd, Bldg F, Suite 100, Tigard, OR 97224-3553 | 2005-08-11 |
1578096954 | Brianna Noelle Tollenaar | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2017-04-04 |
1366982985 | Matthew Peterson | Chiropractor | 11565 Sw Durham Rd, Tigard, OR 97224-3553 | 2017-03-01 |
1740643295 | Whitney Arnold | Massage Therapist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2016-04-01 |
1811262306 | Brandon Schwindt Dmd PC | Dentist | 11565 Sw Durham Rd, Bldg F, Ste 100, Tigard, OR 97224-3553 | 2012-03-15 |
1699057471 | Suzanne Elizabeth Black | Specialist | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2011-09-16 |
1881876704 | Cornerstone Chiropractic, LLC | Chiropractor | 11565 Sw Durham Rd, Suite 110, Tigard, OR 97224-3553 | 2007-12-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
Find all providers in zip 97224 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235249160 | Dennis P. Clark, D.m.d., P.C. | Dentist | 9430 Sw Coral St, Suite 200, Tigard, OR 97223-6691 | 2006-08-30 |
1780065128 | Bryan Clevenger | Dentist | 7095 Sw Gonzaga St, Tigard, OR 97223-8309 | 2015-06-11 |
1114121720 | Jeffrey M Burstein | Dentist | 12750 Sw 68th Ave, Tigard, OR 97223-8596 | 2007-06-14 |
1386868370 | Dennis P Clark | Dentist | 9430 Sw Coral St, Suite 200, Tigard, OR 97223-6691 | 2007-04-12 |
1538281068 | Gregory P Delgado | Dentist | 10115 Sw Nimbus Ave, Suite 350, Tigard, OR 97223-4349 | 2007-04-04 |
1912072067 | Jeffery Edwin Reddicks | Dentist | 7095 Sw Gonzaga St, Tigard, OR 97223-8309 | 2006-11-22 |
1972564847 | Frank J Kratochvil IIi | Dentist | 12254 Sw Garden Pl, Tigard, OR 97223-8246 | 2006-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831686468 | Jev A. Clark, Dmd, Md, LLC | Dentist | 120 Ramsgate Sq S Ste 110, Salem, OR 97302-5870 | 2018-04-19 |
1417385857 | Northwest Oral and Maxillofacial Surgeons | Dentist | 24850 Se Stark St Ste 100, Gresham, OR 97030-8317 | 2013-10-22 |
1457699142 | Bryan Christopher Williams | Dentist | 330 S Garden Way Ste 140, Eugene, OR 97401 | 2013-01-30 |
1689932063 | Garrett Welch | Dentist | 1475 Sw Chandler Ave Ste 101, Bend, OR 97702 | 2012-04-24 |
1164712022 | Travis Jon Hamilton | Dentist | 250 Church St Se Ste 102, Salem, OR 97301-3758 | 2011-04-12 |
1770887648 | Humble Richmond & Russell Oral & Maxillofacial Surgery, LLC | Dentist | 911 Main St Ste 180, Oregon City, OR 97045-1870 | 2011-01-06 |
1710291265 | Auzins Warrenton LLC | Dentist | 65 N Highway 101 Ste C, Warrenton, OR 97146-9313 | 2010-07-27 |
1932411303 | Normund Karl Auzins Dds | Dentist | 1725 Saint Helens St, Saint Helens, OR 97051-1744 | 2010-07-13 |
1356662845 | Baber Nazir Khatib | Dentist | 1849 Nw Kearney St Ste 300, Portland, OR 97209-1453 | 2010-06-18 |
1700012010 | Dylan S Spendal | Dentist | 5025 Ne Elam Young Pkwy, Suite 100, Hillsboro, OR 97124-6403 | 2009-06-02 |
Find all providers with the same taxonomy |
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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.