Alexander Vincent Wolf, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02891600 Issued in NJ

Practice address

23203 Columbus Rd Ste Q
Columbus, NJ 08022-1985

Phone

(609) 324-9500

NPI assigned

Jun 21, 2021

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• M&M Smiles LLC

  dba Columbus Dental Arts

  • General Practice Dentistry
  • Columbus, NJ
  • NPI 1871359489
  NPD
• Gibbsboro LV Dental, LLC

  dba Lakeview Dental Care of Gibbsboro

  • Public Health Dentistry
  • Gibbsboro, NJ
  • NPI 1740063940
  NPD (past)

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1649849118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 MARKLE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271709",
            "telephone_number": "267-515-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23203 COLUMBUS RD STE Q",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221985",
            "telephone_number": "609-324-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ALEXANDER",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02891600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Vare, M.D.
• Vensar Billing LLC
• Vensar Healthcare Inc.
• Kacie Walton, MSN, ACNPC-AG, CCRN
• John A Watson, MD
• Jessica N. Wood, PT, DPT
• Xtreme HD
• Vitaly Zholudev, MD

• General Practice Dentistry in Columbus, NJ
• Providers in Columbus, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.