Michaeel Julian Wolfgang, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10355 Issued in MD

Practice address

315 McHugh Blvd
2D Den BN / NDC
Camp Lejeune, NC 28547-2511

Phone

(910) 451-2208

Fax

(910) 451-8036

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013029768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 MCHUGH BLVD",
            "address_2": "2D DEN BN / NDC",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472511",
            "telephone_number": "910-451-2208",
            "fax_number": "910-451-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MCHUGH BLVD",
            "address_2": "2D DEN BN / NDC",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285472511",
            "telephone_number": "910-451-2208",
            "fax_number": "910-451-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGANG",
        "first_name": "MICHAEEL",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan William Winter, DO
• Monique Nicole Wiseman
• Piotr Wisniewski, MD
• Bryce Allen Witter, DDS
• Bradley E Wolf, MA, LMFT
• Josiah Johnathan Wood
• Mark Lloyd Woodbridge, DO
• Curtis James Woods, MD
• Eric Lee Woodworth, SOIDC
• Andrew J Wright, M.D.

• General Practice Dentistry in Camp Lejeune, NC
• Providers in Camp Lejeune, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.