Healthcare Provider Details

I. General information

NPI: 1073833372
Provider Name (Legal Business Name): JENNIFER WOHLERS DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2010
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

9920 COULOAK DR
CHARLOTTE NC
28216-8925
US

V. Phone/Fax

Practice location:
  • Phone: 770-926-9914
  • Fax:
Mailing address:
  • Phone: 704-392-7676
  • Fax: 704-392-7665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License NumberDN014946
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN014946
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDN014946
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: