Wolfy Dental Group Llc
LBN: Wolfy Dental Group Llc
Wolfy Dental Group Llc is an health care organization with primary practice located at 51 S Whittlesey Ave , Wallingford CT 06492-4101. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Wolfy Dental Group Llc can be contacted via phone (203) 265-3139, or through Vukovic, Sandra via phone (203) 265-3139.
Contact Information
Primary practice address
51 S Whittlesey Ave
Wallingford CT 06492-4101
Phone: (203) 265-3139
Fax: (203) 265-5133
Website:
Authorized official contact:
Name: Vukovic, Sandra Doctor of Dental Surgery (DDS)
Phone: (203) 265-3139
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11226 | Connecticut |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 006306 | Connecticut |
Profile Details
| NPI number | 1467997106 |
|---|---|
| LBN Legal business name | Wolfy Dental Group Llc |
| DBA Doing business as | |
| Authorized official | Vukovic, Sandra Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2017 |
| Last updated | Jan 5th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467997106 | NPPES |
| Connecticut | MEDICAID | 1346658051 | |
| Connecticut | MEDICAID | 1962429399 |
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