Provider Demographics
NPI:1821179615
Name:WOLFE, JOSEPH G (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:G
Last Name:WOLFE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 LINCOLN WAY EAST
Mailing Address - Street 2:
Mailing Address - City:MCCONNELLSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17233
Mailing Address - Country:US
Mailing Address - Phone:717-485-3856
Mailing Address - Fax:717-485-5748
Practice Address - Street 1:214 LINCOLN WAY EAST
Practice Address - Street 2:
Practice Address - City:MCCONNELLSBURG
Practice Address - State:PA
Practice Address - Zip Code:17233
Practice Address - Country:US
Practice Address - Phone:717-485-3817
Practice Address - Fax:717-485-5748
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020661L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist