# JC WOLFE DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437376605
- **Authorized official:** MRS. KELLY ANN ROBERTSON (ACCOUNTANT ADMINISTRATOR)
- **Authorized official phone:** (434) 923-0303

## Contact information

- **Practice address:** 300 HICKMAN RD, SUITE 201, CHARLOTTESVILLE, VA 22911
- **Practice address phone:** (434) 923-0303
- **Practice address fax:** (434) 923-0305
- **Mailing address:** 300 HICKMAN RD, SUITE 201, CHARLOTTESVILLE, VA 22911
- **Mailing address phone:** (434) 923-0303
- **Mailing address fax:** (434) 923-0305

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 08/22/2020