Mark E Wolowiec, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MI14173 Issued in MI

Practice address

29877 Telegraph Rd Ste L-12
Southfield, MI 48034-7657

Phone

(248) 352-7722

NPI assigned

May 15, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farmbrook Dental Group PC

  • General Practice Dentistry
  • Bloomfield Hills, MI
  • NPI 1740214683
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1245446368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 TELEGRAPH RD SUITE 1500",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48301",
            "telephone_number": "248-855-0824",
            "fax_number": "248-855-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29877 TELEGRAPH RD STE L-12",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480347657",
            "telephone_number": "248-352-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLOWIEC",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "MI14173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "12",
            "identifier": "382614385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Wolf
• Brian Patrick Wolfe, PT, DPT
• Michelle Dawn Wolfe, MD
• Sandra Dee Wolfe, LPN
• Kelly Lynn Wolowiec
• Wolverine Cosmetic Dental L.L.C
• Sally Womack
• Womans Touch PLLC
• Won Medical Group PC
• Grace Wong, LLMSW

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.