NPI 1063430924

Charles G. Wood D.M.D.P.A.

Organisation General Practice Dentistry Gulfport, MS

Practice location

Address: 1213 Broad Ave # Std-1, Gulfport, MS 39501-2475
Phone: (228) 863-5171
Fax: (228) 863-5233

Authorised official

Name: Charles G Wood
Title: Dentist
Phone: (228) 863-5171

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 2041-83 (MS)

Other Dentist providers in Mississippi →

Registry record

NPI: 1063430924
Entity type: Organization
NPI issued: 18 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.