Organization
ASSOCIATED CHILDREN'S DENTISTRY, PLLC
Active
Other names
Eric K. Wood, Sr., DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC KEVIN WOOD SR. D.D.S. (PEDIATRIC DENTIST)
(615) 859-9994
Entity
Organization
Contact information
Practice address
206 RIVERGATE PKWY, SUITE A, GOODLETTSVILLE, TN 37072-2033
(615) 859-9994
(615) 859-9939
Mailing address
206 RIVERGATE PKWY, SUITE A, GOODLETTSVILLE, TN 37072-2033
(615) 859-9994
(615) 859-9939
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000003715
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225308
—
TN
01
—
DS0000003715
TN STATE LICENSE
TN
Enumeration date
04/17/2008
Last updated
03/29/2016
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