Steven M Wolfram DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEVEN M WOLFRAM DDS INC

Practice address

11834 Bryant St Ste 104
Yucaipa, CA 92399-3848

Phone

(909) 797-1452

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Mark Wolfram, DDS

  • General Practice Dentistry
  • Yucaipa, CA
  • NPI 1053348086
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1780279430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 BRYANT ST STE 104",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993848",
            "telephone_number": "909-797-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 BRYANT ST STE 104",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993848",
            "telephone_number": "909-797-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN M WOLFRAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin C Stanley
• Tigran Stepanyan, D.O.
• Stepien Seheult Consulting Inc
• Evan Paul Sternard
• Steven a. Miller, O.D.
• Zangelica Stewart
• Douglas Allen Stilson, D.D.S.
• Tammy Stokes, CPM, LM
• Kimberly Ann Swank
• Kamphoune Syphengpheth

• Dental Clinic/Center in Yucaipa, CA
• Providers in Yucaipa, 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 4, 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.