Jake Brady Wolf, D.D.S.

Dentist · Deming, NM

Individual Active NPI

NPI number 1346655974

Practice location

1310 E Pine St
Suite B
Deming, NM 88030-7003
Phone
(575) 544-9999

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NPI record

NPI
1346655974
Entity type
Individual (Type 1)
Enumeration date
June 23, 2014
Last updated
June 23, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DD4108 NM

Mailing address

8201 Golf Course Rd NW
Albuquerque, NM 87120-5842
Phone
(505) 892-9010

About Dr. Wolf

Jake Brady Wolf, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1310 E Pine St, Suite B, Deming, NM 88030-7003. The NPI number 1346655974 was assigned on June 23, 2014 and the record was last updated on June 23, 2014.

Dr. Wolf lists a license in the registry: #DD4108 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jake Brady Wolf, D.D.S.?

The NPI number is 1346655974.

What is the phone number of Dr. Wolf?

The phone number listed for the practice location is (575) 544-9999.

Where is Dr. Wolf located?

1310 E Pine St, Suite B, Deming, NM 88030-7003.

What is the taxonomy code for Dr. Wolf?

The primary taxonomy code is 122300000X – Dentist.

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.

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