Leslie P Wolford, DMD, MS.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4557 Issued in WV

Practice address

1215 Johnson Ave Ste 1
Bridgeport, WV 26330-1389

Phone

(304) 842-0590

Fax

(304) 842-0591

NPI assigned

Apr 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Morgantown Dental, PLLC

  dba Meridian Dental Specialists

  • Endodontics
  • Morgantown, WV
  • NPI 1992297733
  NPD (past)

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1952980674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 SCOTTSDALE RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547806",
            "telephone_number": "681-753-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JOHNSON AVE STE 1",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301389",
            "telephone_number": "304-842-0590",
            "fax_number": "304-842-0591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053409",
            "country_code": "US",
            "telephone_number": "304-293-0627",
            "fax_number": "304-293-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 Coombs Farm Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081150",
            "country_code": "US",
            "telephone_number": "304-594-1670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFORD",
        "first_name": "LESLIE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD, MS.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS044362",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "18145",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WV",
            "license": "4557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Beth Williamson, DDS
• Willo Group (Bridgeport Family Pharmacy)
• Jessica Elizabeth Willoughby, MOT, OTR/L
• Catherine Alexis Wilson
• Kaitlyn Wilson
• Susan Michelle Wood, MOTR/L
• Amy Lynn Woodruff, LGSW
• Jamie L Woods, CFNP
• Sarah Lyndsey Woods, FNP-C
• Lydia Jane Woodward

• Endodontics in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Endodontics in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.