SM Wolfram DDS Inc

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

SM WOLFRAM DDS INC

Practice address

42500 Bob Hope Dr Ste 1
Rancho Mirage, CA 92270-4431

Phone

(760) 568-2797

NPI assigned

May 11, 2022

Organization subpart

No

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

Authorized official

Name

Benjamin Tuinei

Title

Credentialing Manager

Phone

(888) 808-4513

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1912643966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42500 BOB HOPE DR STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704431",
            "telephone_number": "760-568-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 BOB HOPE DR STE 1",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704431",
            "telephone_number": "760-568-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM WOLFRAM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "TUINEI",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "888-808-4513"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rancho Mirage, CA by specialty
• Public Health Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.