Jeffrey J Wolfe DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JEFFREY J WOLFE DDS PC

Practice address

2105 NE 42ND Ave
Portland, OR 97213-1321

Phone

(503) 349-2267

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Jeffrey J Wolfe, DDSNPI 1780605287

Title

Owner

Phone

(503) 349-2267

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey John Wolfe, D.D.S.

  • General Practice Dentistry
  • Portland, OR
  • NPI 1780605287
  NPD Authorized official

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1942880190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 NE 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 NE 42ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972131321",
            "telephone_number": "503-349-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY J WOLFE DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-349-2267",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joresa Diondra Jefferson
• Mia Jefferson
• David Andrew Jeffery, MD
• Jeffrey E. Flemming, M.D., P.C.
• Jeffrey Firestone DDS PC
• Jeffrey M Levine MD LLC
• Jeffrey Philip Olson Acupuncture
• Larisa Jeffreys, P.M.H.N.P.
• Eden Jeffries, ND
• Ida Jefsen, RN

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.