Active NPI
Douglas a. Wolfe DDS PLLC
- General Practice Dentistry
- Waxhaw, NC
National Provider Identifier
1104514777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DOUGLAS A. WOLFE DDS PLLC
- Doing business as
- New Town Dentistry
- Practice address
- 1532 Providence Rd S Ste 220
Waxhaw, NC 28173-8313 - Phone
- (704) 373-6040
- Fax
- (704) 373-6041
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Andrew Wolfe, D.D.S.
- Title
- Owner and President
- Phone
- (330) 348-6024
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
1532 Providence Rd S Ste 220
Waxhaw, NC 28173-8313
Mailing address
1532 Providence Rd S Ste 220
Waxhaw, NC 28173-8313
Phone (704) 373-6040
Other names 1
- New Town Dentistry
National Provider Directory
National Provider DirectoryLocations
1532 S Providence Rd
#220
Waxhaw, NC 28173
Phone (704) 373-6040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Waxhaw, NC
- NPI 1821083296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1104514777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 PROVIDENCE RD S STE 220",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738313",
"telephone_number": "704-373-6040",
"fax_number": "704-373-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 PROVIDENCE RD S STE 220",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281738313",
"telephone_number": "704-373-6040",
"fax_number": "704-373-6041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS A. WOLFE DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "WOLFE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "ANDREW",
"authorized_official_title_or_position": "OWNER AND PRESIDENT",
"authorized_official_telephone_number": "330-348-6024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Town Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Town Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waxhaw, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.