Provider Demographics
NPI:1417105297
Name:PETER U. WOLFF, D.M.D., PC
Entity Type:Organization
Organization Name:PETER U. WOLFF, D.M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:U
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:401-884-7300
Mailing Address - Street 1:2580 S COUNTY TRL
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-1721
Mailing Address - Country:US
Mailing Address - Phone:401-884-7300
Mailing Address - Fax:401-884-3409
Practice Address - Street 1:2580 S COUNTY TRL
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-1721
Practice Address - Country:US
Practice Address - Phone:401-884-7300
Practice Address - Fax:401-884-3409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty