Jon D. Wolfe, D.M.D.

General Practice Dentistry · Lena, IL

Individual Active NPI

NPI number 1073723714

Practice location

123 W. Railroad St.
Lena, IL 61048-9038
Phone
(815) 369-2611
Fax
(815) 369-2720

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NPI record

NPI
1073723714
Entity type
Individual (Type 1)
Enumeration date
May 23, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 022095 IL

About Dr. Wolfe

Jon D. Wolfe, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 123 W. Railroad St., Lena, IL 61048-9038. The NPI number 1073723714 was assigned on May 23, 2007 and the record was last updated on July 8, 2007.

Dr. Wolfe lists a license in the registry: #022095 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon D. Wolfe, D.M.D.?

The NPI number is 1073723714.

What is the phone number of Dr. Wolfe?

The phone number listed for the practice location is (815) 369-2611.

Where is Dr. Wolfe located?

123 W. Railroad St., Lena, IL 61048-9038.

What is the taxonomy code for Dr. Wolfe?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.