Individual
RICHARD EVAN WOLFERT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1121 MAIN ST, SUITE #2, SOUTH WEYMOUTH, MA 02190-1513
(781) 335-0604
Mailing address
9 DALEY RD, HINGHAM, MA 02043-1201
(781) 749-4151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14972
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014972
DELTA PROVIDER NUMBER
MA
Enumeration date
11/22/2005
Last updated
07/08/2007
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