# TERRY R. WOOD, DDS, INC

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

## Provider details

- **NPI number:** 1750386645
- **Authorized official:** DR. TERRY R WOOD DDS (PARTNER)
- **Authorized official phone:** (559) 781-7685

## Contact information

- **Practice address:** 515 W. PUTNAM AVE, PORTERVILLE, CA 93257
- **Practice address phone:** (559) 781-7685
- **Practice address fax:** (559) 781-1825
- **Mailing address:** 515 W. PUTNAM AVE, PORTERVILLE, CA 93257
- **Mailing address phone:** (559) 781-7685
- **Mailing address fax:** (559) 781-1825

## 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