Wolf,D.D.S., P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE8174 Issued in WA

Legal business name

WOLF,D.D.S., P.S.

Practice address

7935 216TH St SW
Suite B
Edmonds, WA 98026-7941

Phone

(425) 775-6714

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Radu V Wolf, DDS

Title

Dentist

Phone

(425) 775-6714

Specialties & licenses 1

Addresses

Other names 1

• Aegis Dental Other name

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336354596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW STE B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-775-6714",
            "fax_number": "206-347-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 216TH ST SW",
            "address_2": "SUITE B",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267941",
            "telephone_number": "425-775-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF,D.D.S., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RADU",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-775-6714",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE8174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aegis Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Kathleen Winter, DDS
• David Michael Wisdom, PA-C
• Brenda Joanne Witherow, LMP
• David Greiffenberg Woldtvedt, LICSW, SUDP
• Radu V Wolf, DDS
• Melissa H Wolfang, LMP
• Agnes Wong, MD
• Arthur Y Wong, O.D.
• Kathleen R Wong, O.D.
• Michael John Wong, PHARMD

• General Practice Dentistry in Edmonds, WA
• Providers in Edmonds, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.