# CENTRAL VALLEY DENTAL IMPLANT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467457465
- **Authorized official:** DR. TERRY R WOOD DDS (PARTNER)
- **Authorized official phone:** (559) 732-7946

## Contact information

- **Practice address:** 1116 N. CHINOWTH RD, VISALIA, CA 93291
- **Practice address phone:** (559) 732-7946
- **Practice address fax:** (559) 732-9621
- **Mailing address:** 1116 N. CHINOWTH RD, VISALIA, CA 93291
- **Mailing address phone:** (559) 732-7946
- **Mailing address fax:** (559) 732-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 24419 | CA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 25102 | CA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 34589 | CA | — |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/22/2020