DR. BRENNAN MATTHEW WOOD (NPI# 1235797804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235797804 |
| Entity Type | Individual |
| Full Name | DR. BRENNAN MATTHEW WOOD |
| Credential | D.D.S. |
| Practice Address |
142 Holiday Ln Lewisburg WV 24901-9315 |
| Mailing Address |
119 Coffman Approach Rd Alderson WV 24910-7159 |
| Practice Telephone | 3046452300 |
| Mailing Telephone | 3046614565 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4398 | WV | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615611 | Brennan P Wood | Otolaryngology | 2406 Lighthouse Manor Dr, Gainesville, GA 30501-7401 | 2005-08-04 |
| Street Address |
142 HOLIDAY LN |
| City | LEWISBURG |
| State | WV |
| Zip Code | 24901-9315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093940 | Amy Lu Moss | Technician | 254 Moss D Lane, Fairlea, WV 24901 | 2020-11-04 |
| 1083212377 | Miranda Shope | Technician | 814 Maple Ave., Lewisburg, WV 24901 | 2020-10-09 |
| 1184235830 | Carol E Beasley | Technician | 147 Windy Hill Road, Lewisburg, WV 24901 | 2020-08-14 |
| 1790317782 | Preston Dyer Modlin | Psychologist | 635 Church Street, Lewisburg, WV 24901 | 2020-02-07 |
| 1437780269 | Healthcare 360 Pllc | Family Medicine | 208 Dawkins Drive, Lewisburg, WV 24901 | 2020-01-30 |
| 1821655390 | Janet Lee Kowalsky | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St., Lewisburg, WV 24901 | 2019-05-21 |
| 1598321192 | Ali Yousaf | Student in an Organized Health Care Education/Training Program | 400 North Jefferson, Lewisburg, WV 24901 | 2019-05-20 |
| 1770053308 | Micheala Renae Taylor | Student in an Organized Health Care Education/Training Program | 1464 North Jefferson Street, Lewisburg, WV 24901 | 2018-11-27 |
| 1659840486 | Maggie King Clendenen | Nurse Practitioner | 454 Bell Drive, Lewisburg, WV 24901 | 2018-11-22 |
| 1861979312 | Vincent Morra | Student in an Organized Health Care Education/Training Program | 1464 N Jefferson St, Lewisburg, WV 24901 | 2018-07-26 |
| Find all providers in zip 24901 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154872182 | Kilcollin Dental Inc. | Dentist | 1393 Jefferson St N, Lewisburg, WV 24901-2212 | 2016-10-14 |
| 1376818781 | Gregory Keith Baker | Dentist | 2400 Robert F Miller Dr, Dental Clinic, Lewisburg, PA 17837-6850 | 2012-03-19 |
| 1043432792 | George Paul Jacobs | Dentist | 260 Reitz Blvd, Lewisburg, PA 17837-9220 | 2007-05-03 |
| 1821216755 | Bruce A Jenkins | Dentist | 302 W Church St, Lewisburg, TN 37091-2730 | 2007-04-23 |
| 1568689867 | Roger Alan Holliday | Dentist | Rr 2 Box 375d, Lewisburg, WV 24901-9346 | 2007-04-19 |
| 1285761668 | Philip S Sosland | Dentist | 222 Jpm Rd, Lewisburg, PA 17837-9340 | 2007-02-27 |
| 1275688020 | Michael D Koller | Dentist | 288 N Main St, Lewisburg, KY 42256 | 2007-01-24 |
| 1881754067 | Dennis Alan Sigman | Dentist | 1300 N Ellington Pkwy, Lewisburg, TN 37091-2218 | 2006-12-11 |
| 1093883670 | Jane A. Johnson | Dentist | 327 N Jefferson St, Lewisburg, WV 24901-1116 | 2006-12-01 |
| 1497774053 | David R. Robinson | Dentist | 339 Market St, Lewisburg, PA 17837-3001 | 2006-07-18 |
| Find all providers in LEWISBURG | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.