Provider Demographics
NPI:1548308851
Name:HOOD, ARETHA D (DDS)
Entity type:Individual
Prefix:DR
First Name:ARETHA
Middle Name:D
Last Name:HOOD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20755 GREENFIELD RD
Mailing Address - Street 2:STE 500
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5408
Mailing Address - Country:US
Mailing Address - Phone:313-538-0004
Mailing Address - Fax:313-538-7596
Practice Address - Street 1:20755 GREENFIELD RD
Practice Address - Street 2:STE 500
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5408
Practice Address - Country:US
Practice Address - Phone:313-538-0004
Practice Address - Fax:313-538-7596
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010170731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice