Barry Wolfe is a Periodontics in Roanoke, Virginia. Barry Wolfe practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Barry Wolfe is 1669527214. The last update date is 2007-07-08.
Barry Wolfe's current location address is 3250 Avenham Ave Sw, Roanoke, Virginia. You can contact this provider via phone number 5409850263. The mailing address for Barry Wolfe is 3250 Avenham Ave Sw, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Wolfe |
|---|---|
| Address | 3250 Avenham Ave Sw, Roanoke, Virginia |
| Phone Number | 5409850263 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1669527214 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3250 Avenham Ave Sw |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240141408 |
| Phone Number | 5409850263 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 41004587 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77257 | VA | BLUE CROSS CLUE SHIELD |
Post Comment/ Review Below
What is the Barry Wolfe's unique identification number?
The Barry Wolfe has been assigned the NPI (National Provider Identifier) Number 1669527214 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Barry Wolfe is physically located?
The Barry Wolfe is situated at the following address: 3250 Avenham Ave Sw, Roanoke, VA 240141408.
What is the Barry Wolfe's area of specialization and corresponding taxonomy classification?
The Barry Wolfe's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669527214 to Barry Wolfe?
The Centers for Medicare & Medicaid Services originally issued the 1669527214 to Barry Wolfe on 2007-01-24.
As of what date was the information pertaining to Barry Wolfe, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Barry Wolfe, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.