Wolfram Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WOLFRAM DENTAL CORPORATION

Practice address

78461 Highway 111
La Quinta, CA 92253-2076

Phone

(760) 564-5455

NPI assigned

Mar 16, 2021

Organization subpart

No

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

Authorized official

Name

Benjamin E Tuinei

Title

Credentialing Manager

Phone

(602) 750-6897

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Youssef, DDS

  • General Practice Dentistry
  • La Quinta, CA
  • NPI 1386566693
  NPD (past)
• Michael Walter Long, D.D.S.

  • General Practice Dentistry
  • Sandy Springs, GA
  • NPI 1538234745
  NPD (past)

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1285219725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78461 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78461 HIGHWAY 111",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922532076",
            "telephone_number": "760-564-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLFRAM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "602-750-6897"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Kiernan,O.D., Inc.
• Aidan T Wilson
• Devin Graham Wilson, N.D.
• Kailee Rose Wingrove-Valdez, ACSW
• Wish U Wellness
• Suzanne M Yang, M.D.
• Arpee F Yeretzian, M.D.
• Yes I Can DME Inc
• Young Song Kim, MD, Inc.
• George Youssef, DDS

• Dental Clinic/Center in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Dental Clinic/Center in California

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