Individual
DR. TANNER JAMES WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(109) 078-9229
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12314
DENTAL LICENSE
NC
Enumeration date
08/22/2021
Last updated
03/17/2025
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