Individual
DR. JOHN L WOLFF III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1683 WILLISTON ROAD, SOUTH BURLINGTON, VT 05403-6426
(802) 864-9111
(802) 658-3970
Mailing address
1683 WILLISTON ROAD, SOUTH BURLINGTON, VT 05403-6426
(802) 864-9111
(802) 658-3970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0160000695
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001915
—
VT
01
—
065862
UNITED CONCORDIA
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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