DR. KELLY COPPS WOOD (NPI# 1851478069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851478069 |
| Entity Type | Individual |
| Full Name | DR. KELLY COPPS WOOD |
| Credential | D.D.S. |
| Practice Address |
7679 N Longview Dr Glendale WI 53209-1863 |
| Practice Telephone | 2628538592 |
| Practice Fax Number | 4144649340 |
| Mailing Telephone | 2628538592 |
| Mailing Fax Number | 4144649340 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5126-015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231916 | Kelly Wood | Social Worker | 305 Wilson Ave, Glassboro, NJ 08028-8350 | 2020-03-27 |
| 1558744854 | Kelly Wood | Case Manager/Care Coordinator | 1138 6th Ave, Lake Odessa, MI 48849-1059 | 2015-07-04 |
| 1750640801 | Kelly Marie Wood | Physical Therapy Assistant | 933 3 Mile Rd Nw Ste 110, Grand Rapids, MI 49544-1673 | 2012-05-10 |
| 1710280888 | Kelly Michelle Wood | Skilled Nursing Facility | 8528 Killeen Run, Fort Wayne, IN 46835-9657 | 2010-12-13 |
| 1821245747 | Kelly L Wood | Chiropractor | 518 W Platte Ave, Colorado Springs, CO 80905-1334 | 2008-08-21 |
| 1619193869 | Kelly Ann Wood | Family Medicine | 521 N Borders Ave Ste C, Marissa Medical Clinic, Marissa, IL 62257-1195 | 2007-04-17 |
| 1710043492 | Kelly Natasha Wood | Internal Medicine | 1265 Highway 54 W Ste 302, Fayetteville, GA 30214 | 2006-12-28 |
| 1235207929 | Kelly Sue Wood | Occupational Therapy Assistant | 1942 Old Dekalb Rd, Canton, NY 13617 | 2006-12-01 |
| 1649703109 | Kelly Cole Wood | Nurse Practitioner | 2995 Reidville Rd Ste 210, Spartanburg, SC 29301-5631 | 2017-04-11 |
| 1952706723 | Kelly Wood | Dietitian, Registered | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2014-10-23 |
| Street Address |
7679 N LONGVIEW DR |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| 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 |
|---|---|---|---|---|
| 1427660422 | Joson Dental Corporation | Dentist | 1415 E Colorado St Ste C, Glendale, CA 91205-1577 | 2020-08-20 |
| 1558987271 | Edward Kelly Furlong | Dentist | 5400 W Northern Ave Ste 202, Glendale, AZ 85301-1591 | 2020-06-18 |
| 1578116380 | Krina Patel Mesuria | Dentist | 4545 W Beardsley Rd Apt 2083, Glendale, AZ 85308-5080 | 2019-07-20 |
| 1801455068 | Clayton Corbridge | Dentist | 20100 N 51st Ave Ste E550, Glendale, AZ 85308-5089 | 2019-06-11 |
| 1811454481 | Lucio H Kim Dds | Dentist | 620 E Glenoaks Blvd Ste A, Glendale, CA 91207-1769 | 2019-03-01 |
| 1902386634 | Arjun Bassin | Dentist | 7025 N 75th Ave Ste 101, Glendale, AZ 85303-2545 | 2018-08-21 |
| 1194216200 | Brandon Dawson | Dentist | 9455 W Glendale Ave, Glendale, AZ 85305 | 2018-05-24 |
| 1578062121 | Missagh Pezeshkian, D.d. S., A Professional Corporation | Dentist | 1016 E Broadway Ste 104, Glendale, CA 91205-4534 | 2018-02-09 |
| 1073037347 | Ian Phillip Bishop | Dentist | 6249 W Kristal Way, Glendale, AZ 85308-7661 | 2017-07-28 |
| 1801317391 | Christine Tran | Dentist | 18275 N 59th Ave Ste 128, Glendale, AZ 85308-1252 | 2017-07-05 |
| Find all providers in GLENDALE | ||||
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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.