Provider Demographics
NPI:1770656134
Name:WOLNY, YVONNE MARGARET (DMD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:MARGARET
Last Name:WOLNY
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 1:18 RUSTIC DR
Mailing Address - Street 2:
Mailing Address - City:WOONSOCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02895-2616
Mailing Address - Country:US
Mailing Address - Phone:401-290-8738
Mailing Address - Fax:
Practice Address - Street 1:40 BROAD ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-2920
Practice Address - Country:US
Practice Address - Phone:401-723-2756
Practice Address - Fax:401-723-2820
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDENO27351223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIDENO2735OtherSTATE LICENSE NUMBER