Julie Alyssa Wolfe Ables, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

398918 Issued in MS

Practice address

110 Highway 12 W Ste a
Starkville, MS 39759-3760

Phone

(662) 338-0700

NPI assigned

Jun 5, 2018

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mitchell Dental Clinic, Inc

  • General Practice Dentistry
  • Ackerman, MS
  • NPI 1578712980
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1841782737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HAWKS CRST",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397596139",
            "telephone_number": "601-441-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HIGHWAY 12 W STE A",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593760",
            "telephone_number": "662-338-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLES",
        "first_name": "JULIE",
        "middle_name": "ALYSSA WOLFE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "398918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06951091",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1001 Hospital Road Opco LLC (Starkville Manor Health Care and Rehabilitation)
• Leah Garner Abrams, SLP
• Dustin Adams, MS
• Iyabo O Adebiyi, RN
• William Marion Adkins, DMD
• Olivia Agostinelli

• General Practice Dentistry in Starkville, MS
• Providers in Starkville, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.