Organization
R. CRAIG WOOD, DMD, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R CRAIG WOOD DMD (DENTIST)
(401) 434-2626
Entity
Organization
Contact information
Practice address
600 WAMPANOAG TRL, SUITE A, RIVERSIDE, RI 02915-1511
(401) 434-2626
(401) 434-2799
Mailing address
600 WAMPANOAG TRL, SUITE A, RIVERSIDE, RI 02915-1511
(401) 434-2626
(401) 434-2799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
01638
RI
1223G0001X
General Practice Dentistry
DEN01524
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093729469
DENTAL
—
01
—
1982759742
DENTAL
RI
Enumeration date
04/25/2012
Last updated
04/25/2012
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