NPIMap

Organization Active NPI

June K. Wolff DMD

Doing business as Clayton Dental

  • General Practice Dentistry
  • Saint Louis, MO
National Provider Identifier
1386832517
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014416 Issued in MO
Legal business name
JUNE K. WOLFF DMD
Doing business as
Clayton Dental
Practice address
168 N Meramec Ave
#102
Saint Louis, MO 63105-3758
Phone
(314) 727-4900
Fax
(314) 727-9888
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. June K. Wolff, DMDNPI 1538270947
Title
President
Phone
(314) 727-4900

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 014396 MO
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 014416 MO Primary

Addresses

Primary practice location

168 N Meramec Ave
#102
Saint Louis, MO 63105-3758

Mailing address

168 N Meramec Ave
#102
Saint Louis, MO 63105-3758
Phone (314) 727-4900

Other names 1

  • Clayton Dental Doing business as

National Provider Directory

National Provider Directory

Locations

168 N Meramec Ave
Ste 102
Saint Louis, MO 63105
Phone (314) 727-4900

Practitioners & affiliated clinicians

Practitioners 2

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": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1386832517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N MERAMEC AVE",
            "address_2": "#102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053758",
            "telephone_number": "314-727-4900",
            "fax_number": "314-727-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N MERAMEC AVE",
            "address_2": "#102",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053758",
            "telephone_number": "314-727-4900",
            "fax_number": "314-727-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE K. WOLFF DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-727-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014396",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.