Stanleyjwolfeddspc

LBN: Stanleyjwolfeddspc
Stanleyjwolfeddspc is an health care organization with primary practice located at 385 Main St Suite4, West Haven CT 06516-4312. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Stanleyjwolfeddspc can be contacted via phone (203) 933-3131, or through Wolfe, Stanley J via phone (203) 933-3131.

Contact Information

Primary practice address
385 Main St Suite4 West Haven CT 06516-4312
Fax: (203) 934-4938
Website:
Authorized official contact:
Name: Wolfe, Stanley J Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 3949 Connecticut

Profile Details

NPI number 1881868842
LBN Legal business name Stanleyjwolfeddspc
DBA Doing business as
Authorized official Wolfe, Stanley J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2008
Last updated Apr 21st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881868842 NPPES
Connecticut MEDICAID 002039493

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