Jack Edwin Wolf in Chesterfield - General Practice
Jack Edwin Wolf - NPI 1154484335
Jack Edwin Wolf is a General Practice in Chesterfield, Missouri. Jack Edwin Wolf practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jack Edwin Wolf is 1154484335. The last update date is 2019-08-21.
Jack Edwin Wolf's current location address is 139 Long Rd, Chesterfield, Missouri. You can contact this provider via phone number 6365307260 and fax number 6367339084. The mailing address for Jack Edwin Wolf is 139 Long Rd, Chesterfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Edwin Wolf |
|---|---|
| Address | 139 Long Rd, Chesterfield, Missouri |
| Phone Number | 6365307260 |
| Fax Number | 6367339084 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1154484335 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2019-08-21 |
Provider Mailing Address Detail
| Address | 139 Long Rd |
|---|---|
| City | Chesterfield |
| State | Missouri (MO) |
| Post Code | 630051223 |
| Phone Number | 6365307260 |
| Fax Number | 6367339084 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DEN14616 |
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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. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Edwin Wolf?
The Jack Edwin Wolf has been issued the NPI (National Provider Identifier) 1154484335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jack Edwin Wolf's facilities are geographically located?
The facilities of Jack Edwin Wolf are physically situated at the following location: 139 Long Rd, Chesterfield, MO, 630051223.
What is Jack Edwin Wolf's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Edwin Wolf's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154484335 to Jack Edwin Wolf?
The Centers for Medicare & Medicaid Services assigned the 1154484335 to Jack Edwin Wolf on 2006-12-18.
As of what date were the details pertaining to Jack Edwin Wolf last refreshed?
The information related to the Jack Edwin Wolf, including its address, specialty, and other relevant details, was last updated on 2019-08-21.