# JOSHUA WOLF DDS PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** JOSHUA WOLF DDS PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003683210
- **Authorized official:** ARACELY D RIVERA (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (845) 880-7771

## Contact information

- **Practice address:** 1229 BROADWAY STE 207, HEWLETT, NY 11557-2014
- **Practice address phone:** (516) 374-2830
- **Practice address fax:** (845) 512-7023
- **Mailing address:** 1229 BROADWAY STE 207, HEWLETT, NY 11557-2014
- **Mailing address phone:** (516) 374-2830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 12/07/2023
- **Last updated:** 03/04/2025
