Provider Demographics
NPI:1871661421
Name:WOLFE, STEVEN G (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
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 1:796 DREW STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208
Mailing Address - Country:US
Mailing Address - Phone:718-277-1100
Mailing Address - Fax:718-277-1101
Practice Address - Street 1:796 DREW STREET
Practice Address - Street 2:SUITE E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208
Practice Address - Country:US
Practice Address - Phone:718-277-1100
Practice Address - Fax:718-277-1101
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033115122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist