Provider Demographics
NPI:1649588484
Name:WOLERY, JANET K (DMD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:K
Last Name:WOLERY
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HIDDEN RAVINES DRIVE
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8736
Mailing Address - Country:US
Mailing Address - Phone:740-369-1953
Mailing Address - Fax:740-369-1954
Practice Address - Street 1:HIDDEN RAVINES DENTAL
Practice Address - Street 2:28 HIDDEN RAVINES DRIVE
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065
Practice Address - Country:US
Practice Address - Phone:740-369-1953
Practice Address - Fax:740-369-1954
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-14
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0178311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice