MR. DEWAYNE ALLAN WOLFER JR.


Address: 421 East Angeleno Avenue, Suite 205, Burbank, CA 91501
Phone: 3238515296

MR. DEWAYNE ALLAN WOLFER JR. (NPI# 1871920629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871920629
Entity Type Individual
Full Name MR. DEWAYNE ALLAN WOLFER JR.
Credential DDS
Practice Address 421 East Angeleno Avenue
Suite 205
Burbank
CA 91501
Practice Telephone 3238515296
Practice Fax Number 2133804402
Mailing Telephone 3238515296
Mailing Fax Number 2133804402
Enumeration Date 2013-10-10
Last Update Date 2018-04-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
28409 CA Dental Providers

Office Location

Street Address 421 EAST ANGELENO AVENUE
SUITE 205
City BURBANK
State CA
Zip Code 91501

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1255646295 Jessica Edwards Physical Therapist 711 E Palm Ave Apt C, Burbank, CA 91501 2010-08-14
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

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1417408832 Pamela Jung Dentist 5501 W. 79th St., Ste. 205, Burbank, IL 60459-1784 2016-10-20
1144614124 Gharibian Dental, Inc. Dentist 500 E Olive Ave Ste 440, Burbank, CA 91501-2171 2015-03-26
1992195705 Melina Esrailian Dentist 847 N Hollywood Way Ste 102, Burbank, CA 91505-2826 2015-02-01
1689078024 Amanda Angulo Dentist 4405 W Riverside Dr Ste 300, Burbank, CA 91505-4050 2014-10-14
1962840694 Joseph Sundeen Dossen Dentist 500 E. Olive Avenue, Suite # 260, Burbank, CA 91501-2171 2013-06-04
1851661169 Modern Smiles Dental Group Dentist 827 N Hollywood Way # 213, Burbank, CA 91505-2814 2012-01-03
1275845984 Angela Annie Terzian Dentist 303 S Glenoaks Blvd Ste 12, Burbank, CA 91502-1184 2010-07-10
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Competitor

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City BURBANK
Zip Code 91501

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Dataset Information

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.

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