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Dr. Jack Edwin Wolf, DMD
General Practice Dentistry in Chesterfield, Missouri
NPI 1154484335

Jack Edwin Wolf is a General Practice Dentistry based in Chesterfield, MO and is specialized in General Practice. Jack Edwin Wolf practices in Chesterfield, MO and has the professional credentials of DMD. The NPI Number for Jack Edwin Wolf is 1154484335 and holds a License No. DEN14616 (Missouri).

The current practice location address for Jack Edwin Wolf is 139 Long Rd, Chesterfield, MO and can be reached out via phone at 636-530-7260 and via fax at 636-733-9084.

Location: 139 Long Rd, Chesterfield, MO, 63005-1223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154484335
Provider Name
Jack Edwin Wolf
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
139 Long Rd, Chesterfield, MO, 63005-1223
Phone Number
636-530-7260
Fax Number
636-733-9084
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
139 Long Rd
City
Chesterfield
State
Missouri
Zip
63005-1223
Phone Number
636-530-7260
Fax Number
636-733-9084
person
Provider Business Mailing Address Details
Address
139 Long Rd
City
Chesterfield
State
Missouri
Zip
63005-1223
Phone Number
636-530-7260
Fax Number
636-733-9084
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DEN14616 (Missouri)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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