MEDICARE: WHITNEY WOLFF DDS

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	122300000X	Dentist	24565	TX

General Provider Information

NPI Number	:	1952531451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY WOLFF DDS

Provider Business Mailing Address
First Line	:	3405 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022
Country	:	US
Telephone Number	:	214-513-1300
Fax Number	:	214-513-1311

Provider Business Practice Location Address
First Line	:	3405 LONG PRAIRIE RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-2737
Country	:	US
Telephone Number	:	214-513-1300
Fax Number	:	214-513-1311

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

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	07/17/2009

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Directions to “ WHITNEY WOLFF DDS” Practice Location

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