Healthcare Provider Details

I. General information

NPI: 1356005060
Provider Name (Legal Business Name): JENNIFER H WOHLERS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3733 CANTON RD
MARIETTA GA
30066-2663
US

IV. Provider business mailing address

3733 CANTON RD
MARIETTA GA
30066-2663
US

V. Phone/Fax

Practice location:
  • Phone: 919-412-4838
  • Fax:
Mailing address:
  • Phone: 919-412-4838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER WOHLERS
Title or Position: DOCTOR
Credential: DDS
Phone: 770-926-9914