Organization Active NPI

Douglas a. Wolfe DDS PLLC

  • General Practice Dentistry
  • Waxhaw, NC
National Provider Identifier
1104514777
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Apr 9, 2024

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.NPI 1821083296
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.