Lloyd B. Wolfe, Jr., D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

210884 Issued in MS

Legal business name

LLOYD B. WOLFE, JR., D.M.D.

Practice address

406 Briarwood Dr Ste 102
Jackson, MS 39206-3059

Phone

(601) 957-9200

Fax

(601) 957-2060

NPI assigned

May 1, 2007

Last updated

Jun 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lloyd B. Wolfe Jr., D.M.D.NPI 1134349160

Title

Orthodontist

Phone

(601) 957-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lloyd B Wolfe Jr DMD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lloyd B. Wolfe, Jr., D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ellisville, MS
  • NPI 1154533834
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lloyd B. Wolfe Jr., D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jackson, MS
  • NPI 1134349160
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1023239068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063059",
            "telephone_number": "601-957-9200",
            "fax_number": "601-957-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BRIARWOOD DR STE 102",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392063059",
            "telephone_number": "601-957-9200",
            "fax_number": "601-957-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLOYD B. WOLFE, JR., D.M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "601-957-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "210884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01589571",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Living Independence for Everyone of Mississippi (LIFE of Mississippi)
• Ladean Johnson Livingston Davis, CRNA
• Darrell Rex Livingston Jr., DMD
• Harold Mark Livingston, D.D.S.
• Livwell Alliance, LLC
• Jacqueline Lloyd, LPC
• James Victor Nathaniel Lock II
• Robert Lock, L.P.C.
• Stewart Jospeh Lockett, MD
• Tyra Lockett

• Orthodontics and Dentofacial Orthopedics Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.