Provider Demographics
NPI:1003941089
Name:JOSEPH W. WOLENSKI, DMD, PA
Entity Type:Organization
Organization Name:JOSEPH W. WOLENSKI, DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOLENSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:908-534-9113
Mailing Address - Street 1:PO BOX 517
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-0517
Mailing Address - Country:US
Mailing Address - Phone:908-534-9113
Mailing Address - Fax:908-534-5038
Practice Address - Street 1:410 RT 523
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889
Practice Address - Country:US
Practice Address - Phone:908-534-9113
Practice Address - Fax:908-534-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI096541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty