DR. JACK EDWIN WOLF


Address: 139 Long Rd, Chesterfield, MO 63005-1223
Phone: 6365307260

DR. JACK EDWIN WOLF (NPI# 1154484335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154484335
Entity Type Individual
Full Name DR. JACK EDWIN WOLF
Credential DMD
Practice Address 139 Long Rd
Chesterfield
MO 63005-1223
Practice Telephone 6365307260
Practice Fax Number 6367339084
Mailing Telephone 6365307260
Mailing Fax Number 6367339084
Enumeration Date 2006-12-18
Last Update Date 2019-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DEN14616 MO Dental Providers

Other Providers JACK WOLF

NPI Name Taxonomy Address Enumeration
1316996028 Jack H Wolf Family Medicine 236 Riverbend Rd, Graham, NC 27253 2006-05-09

Office Location

Street Address 139 LONG RD
City CHESTERFIELD
State MO
Zip Code 63005-1223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538608245 Brendan Mahoney Chiropractor 139 Long Rd, Chesterfield, MO 63005-1223 2017-02-14
1184163933 Spirit of Health Chiropractic Wellness Center, LLC Clinic/Center 139 Long Rd, Chesterfield, MO 63005-1223 2017-02-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063901254 Ryan Hewkin Chiropractor 17684 Chesterfield Airport Road, Chesterfield, MO 63005 2018-05-03
1093224487 All Family Matters, LLC In Home Supportive Care 100 Chesterfield Business Pkwy Ste 200, Chesterfield, MO 63005 2017-09-28
1437681293 Emily Therese Harpel Pharmacist 691 Trade Center Blvd, Chesterfield, MO 63005 2017-03-31
1831543826 Leslie Noel Chanasue Family Medicine 17701 Edison Ave Ste 101, Chesterfield, MO 63005 2016-04-16
1497112874 Jordan Kimler Nurse Practitioner 124 Chesterfield Towne Ctr, Chesterfield, MO 63005 2016-01-15
1265850556 Richard George Rougeau General Practice 17679 Wildridge Drive, Wildwood, MO 63005 2014-04-03
1679912554 Ceara M Barmeier Physician Assistant 17300 N Outer 40 Rd #101, Chesterfield, MO 63005 2013-06-24
1265794911 Regeneration Orthopedics, LLC Anesthesiology 6 Mcbride & Son Center Dr., Ste 204, Chesterfield, MO 63005 2012-06-08
1528334984 Syed Tanveer Haider Radiologic Technologist 16502 Barrister Lane, Chesterfield, MO 63005 2012-03-29
1144591041 Sensible Dental - Chesterfield Dentist 100 Thf Blvd., Chesterfield, MO 63005 2012-01-24
Find all providers in zip 63005

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255855789 Aaron S. Johnson, Dds, PC Dentist 34301 23 Mile Rd Ste 140a, Chesterfield, MI 48047-4432 2017-07-26
1194254847 Ibrahim Dawood Dentist 50503 Gratiot Ave, Chesterfield, MI 48051-3184 2017-06-07
1306205893 Marc R. Sattovia Dentist 16100 Chesterfield Parkway W., #320, Chesterfield, MO 63017-4817 2016-02-12
1346605219 Hurley Family Dentistry LLC Dentist 14377 Woodlake Dr Ste 211, Chesterfield, MO 63017-5735 2015-12-20
1639544059 Alex Sharifian Dds, Chesterfield Smiles Dentistry, PC Dentist 16889 Chesterfield Airport Rd, Chesterfield, MO 63005-1437 2015-12-10
1215338959 Bright Smiles Dental Dentist 7205 Hancock Village Dr, Chesterfield, VA 23832-2782 2014-09-12
1285057521 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 15817 Fountain Plaza Dr, Chesterfield, MO 63017-7468 2014-01-22
1881036630 Faye Licata Dentist 111 Hilltown Village Ctr Ste 200, Chesterfield, MO 63017-1712 2013-07-22
1144591041 Sensible Dental - Chesterfield Dentist 100 Thf Blvd., Chesterfield, MO 63005 2012-01-24
1720370497 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 1642 Clarkson Rd, Chesterfield, MO 63017-4601 2011-05-12
Find all providers in CHESTERFIELD

Competitor

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City CHESTERFIELD
Zip Code 63005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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