Wolf and Bear Dental Care LLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

WOLF AND BEAR DENTAL CARE LLC

Practice address

3023 Bunker Hill St Ste 105
San Diego, CA 92109-5706

Phone

(425) 306-2579

NPI assigned

Mar 2, 2016

Organization subpart

No

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

Authorized official

Name

Steven Delisle

Title

Owner

Phone

(425) 306-2579

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1497115547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 BUNKER HILL ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 BUNKER HILL ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095706",
            "telephone_number": "425-306-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF AND BEAR DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "DELISLE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-306-2579"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luam Woldeyesus
• Samuel Woldeyohannes, MD
• Christopher Woldrich
• Sharon Woldrich
• Kimberly Wolery, P.T.
• Alison Kyle Wolf, NP
• Casey Wolf, LMSW-C
• Celia Caroline Wolf, RN, PMHNP-BC
• Erin Wolf
• Frances Jennifer Wolf, LCSW

• Dental Anesthesiology in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Anesthesiology in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.