WOLF FAMILY DENTISTRY, PC. (NPI# 1174656342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174656342 |
| Entity Type | Organization |
| Organization Name | WOLF FAMILY DENTISTRY, PC. |
| Practice Address |
3550 W Johnson Rd La Porte IN 46350-8576 |
| Practice Telephone | 2193623730 |
| Practice Fax Number | 2193244273 |
| Mailing Telephone | 2193623730 |
| Mailing Fax Number | 2193244273 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RENEE OSTERMILLER WOLF (DENTIST) |
| Authorized Official Telephone | 2193623730 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12008861 | IN | Dental Providers |
| Street Address |
3550 W JOHNSON RD |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-8576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902099419 | Renee E Ostermiller Wolf | Dentist | 3550 W Johnson Rd, La Porte, IN 46350-8576 | 2007-08-20 |
| 1104018662 | Margaret Fox | Dentist | 3550 W Johnson Rd, La Porte, IN 46350-8576 | 2007-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508987769 | Randy Paul Banic | Dentist | 910 I St, La Porte, IN 46350-5533 | 2007-04-03 |
| 1417081746 | David Lloyd Porter | Dentist | 1112 Indiana Ave, La Porte, IN 46350-4946 | 2007-03-16 |
| 1285762054 | James M. Vanes D.d.s. PC | Dentist | 1025 Indiana Ave, La Porte, IN 46350-4996 | 2007-03-01 |
| 1720125008 | Victor Alvarado | Dentist | 400 W Fairmont Pkwy, La Porte, TX 77571 | 2007-01-30 |
| 1831259019 | James Logan Ballard | Dentist | 1702 A Street, La Porte, IN 46350-5925 | 2006-12-11 |
| 1952486854 | Daniel W. Fridh | Dentist | 1200 Andrew Ave, La Porte, IN 46350-5339 | 2006-10-26 |
| 1598849317 | Jeffrey S. Miller | Dentist | 321 Lincolnway, La Porte, IN 46350-2412 | 2006-10-25 |
| 1700980208 | Bayarea Gentle Dental | Dentist | 1309 W Fairmont Pkwy Ste C, La Porte, TX 77571-6123 | 2006-09-13 |
| 1851396626 | Suman C Rangappa | Dentist | 1309 W Fairmont Pkwy, Ste C, La Porte, TX 77571-6123 | 2005-06-17 |
| 1487207957 | Houston Mint Dentistry, Pllc | Dentist | 1309 W Fairmont Pkwy Ste C, La Porte, TX 77571-6123 | 2019-07-23 |
| Find all providers in LA PORTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.