MEDICARE: DR. JENNIFER LYNN WOOD D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	51157	CA

General Provider Information

NPI Number	:	1518058221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LYNN WOOD D.D.S.

Provider Business Mailing Address
First Line	:	620 MONTANA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1402
Country	:	US
Telephone Number	:	310-451-5563
Fax Number	:	310-451-5218

Provider Business Practice Location Address
First Line	:	620 MONTANA AVE
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-1402
Country	:	US
Telephone Number	:	310-451-5563
Fax Number	:	310-451-5218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1295738169 — DR. CHARLES CONLEY WOOD D.D.S.
Practice Location Address:

620 MONTANA AVE
SANTA MONICA, CA
90403-1402

Practice Phone: 310-451-5563
Practice Fax: 310-451-5218

1194828087 — DR. JULIAN W CHEN D.D.S.
Practice Location Address:

620 MONTANA AVE
SANTA MONICA, CA
90403-1402

Practice Phone: 310-451-5563
Practice Fax: 310-451-5218

1114274941 — DR. WILLIAM JOSEPH CHENG D.D.S.
Practice Location Address:

620 MONTANA AVE
SANTA MONICA, CA
90403-1402

Practice Phone: 310-451-5563
Practice Fax:

1790144228 — STEPHEN ALBERTSON DDS
Practice Location Address:

620 MONTANA AVE
SANTA MONICA, CA
90403-1402

Practice Phone: 310-451-5563
Practice Fax:

1528921582 — RONEY'S PLACE A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice Location Address:

1402 ARIZONA AVE APT 8
SANTA MONICA, CA
90404-1029

Practice Phone: 818-590-1349
Practice Fax:

1497748818 — SWISS BALANCE INC
Practice Location Address:

1260 15TH ST , STE 1402
SANTA MONICA, CA
90404-1135

Practice Phone: 310-458-9648
Practice Fax: 310-451-2002

Directions to “ DR. JENNIFER LYNN WOOD D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.