Individual
JASON WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
624 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 699-2500
Mailing address
280 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 585-3318
(804) 828-0056
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8440
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2014
Last updated
08/04/2022
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