Provider Demographics
NPI:1629070958
Name:WOLF, STEVE LAWRENCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:LAWRENCE
Last Name:WOLF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23895 NOVI RD
Mailing Address - Street 2:STE 200
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-0200
Mailing Address - Country:US
Mailing Address - Phone:248-380-8020
Mailing Address - Fax:248-380-7905
Practice Address - Street 1:23895 NOVI RD
Practice Address - Street 2:STE 200
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-0200
Practice Address - Country:US
Practice Address - Phone:248-380-8020
Practice Address - Fax:248-380-7905
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010159161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics