KEN WOOD, D.D.S. M.S. CHILDRENS DENTISTRY
NPI 1790909752
Dentist - Pediatric Dentistry in Jonesboro, AR

Q: What is Ken Wood, D.D.S. M.S. Childrens Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since April 12, 2007

2702 S CULBERHOUSE ST, SUITE Q, JONESBORO, AR 72401(870) 931-5437(870) 931-9781 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ken Wood, D.d.s. M.s. Childrens Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN WOOD, D.D.S. M.S. CHILDRENS DENTISTRY (NPI 1790909752) is a healthcare organization registered as a pediatric dentistry in Jonesboro, Arkansas and active in the NPI registry since April 2007. The organization lists Kenneth I Wood, Doctor, as its authorized official.

NPPES Registry Identity

NPI1790909752

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameKEN WOOD, D.D.S. M.S. CHILDRENS DENTISTRY

Location Address2702 S CULBERHOUSE ST, SUITE QJonesboro, AR 72401-7132

Mailing AddressPo Box 1369Jonesboro, AR 72403-1369 · (870) 931-5437 · Fax (870) 931-9781

Phone(870) 931-5437

Fax(870) 931-9781

Organization SubpartNo

Authorized OfficialKenneth I WoodDoctor · (870) 931-5437

Enumeration DateApril 12, 2007

Last NPPES UpdateJuly 18, 2007

✔ NPI 1790909752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in AR · 2738

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2702 S CULBERHOUSE ST, Jonesboro, AR 72401

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Other Identifiers 2

Other828134AR · United Concordia

Other59239AR · Arkansas Blue Cross Blue

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Wood, D.D.S. M.S. Childrens Dentistry's NPI number?

The NPI number for Ken Wood, D.D.S. M.S. Childrens Dentistry is 1790909752. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Ken Wood, D.D.S. M.S. Childrens Dentistry located?

Ken Wood, D.D.S. M.S. Childrens Dentistry is located at 2702 S Culberhouse St Suite Q, Jonesboro, AR 72401. The listed phone number is (870) 931-5437.

What is Ken Wood, D.D.S. M.S. Childrens Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Ken Wood, D.D.S. M.S. Childrens Dentistry was last updated on July 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.