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EJC WOOD LLC
NPI 1902573462
Dentist - General Practice in Woodhaven, MI

Active since August 24, 2021
20310 WEST RD., WOODHAVEN, MI 48183(315) 454-6000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Aug 24, 2021 (2 updates tracked since 2021).

About Ejc Wood Llc NPPES

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

EJC WOOD LLC (NPI 1902573462) is a healthcare organization registered as a general practice in Woodhaven, Michigan and active in the NPI registry since August 2021. The organization lists Patricia Lucas, Owner, as its authorized official.

NPPES Registry Identity

NPI1902573462
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameEJC WOOD LLC
Location Address20310 WEST RD.Woodhaven, MI 48183
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(315) 454-6000
Organization SubpartNo
Authorized OfficialPatricia LucasOwner · (315) 454-6000
Enumeration DateAugust 24, 2021
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1902573462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
20310 WEST RD., Woodhaven, MI 48183
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Ejc Wood LLC's NPI number?

The NPI number for Ejc Wood LLC is 1902573462. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Ejc Wood LLC located?

Ejc Wood LLC is located at 20310 West Rd., Woodhaven, MI 48183. The listed phone number is (315) 454-6000.

What is Ejc Wood LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ejc Wood LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ejc Wood LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ejc Wood LLC was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.