MEDICARE: DR. CINDY WEPRIN WOLT D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22026	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336292713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CINDY WEPRIN WOLT D.D.S

Provider Business Mailing Address
First Line	:	7672 OGDEN WOODS BLVD
Second Line	:
City	:	NEW ALBANY
State	:	OH
Zip	:	43054-9636
Country	:	US
Telephone Number	:	614-595-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	4770 INDIANOLA AVE
Second Line	:	100
City	:	COLUMBUS
State	:	OH
Zip	:	43214-1862
Country	:	US
Telephone Number	:	614-396-6850
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	08/25/2011

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