Organization
JAMES T WOLFE, DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA WILLIS (OFFICE MANAGER)
(765) 453-2619
Entity
Organization
Contact information
Practice address
2705 S BERKLEY RD, SUITE 4A, KOKOMO, IN 46902-8025
(765) 453-2619
Mailing address
2705 S BERKLEY RD, SUITE 4A, KOKOMO, IN 46902-8025
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12009605A
IN
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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