NPIMap

Organization Active NPI

Joseph Wolski, DMD, P.C.

  • General Practice Dentistry
  • Saint Charles, IL
National Provider Identifier
1265980353
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019030169 Issued in IL
Legal business name
JOSEPH WOLSKI, DMD, P.C.
Practice address
804 S 3Rd St
Saint Charles, IL 60174-4053
Phone
(630) 377-1200
NPI assigned
Sep 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dr. Joseph Wolski, D.M.D.NPI 1093196446
Title
Presdident
Phone
(630) 377-1200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 019030169 IL Primary

Addresses

Primary practice location

804 S 3Rd St
Saint Charles, IL 60174-4053

Mailing address

804 S 3Rd St
Saint Charles, IL 60174-4053
Phone (630) 377-1200

Other names 1

  • Bespoke Dental Co. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1474070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1265980353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S 3RD ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601744053",
            "telephone_number": "630-377-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S 3RD ST",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601744053",
            "telephone_number": "630-377-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH WOLSKI, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-17",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "WOLSKI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESDIDENT",
        "authorized_official_telephone_number": "630-377-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019030169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bespoke Dental Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.