MEDICARE: WALTER J. WULF, DDS, P.A.

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	6107	NC

General Provider Information

NPI Number	:	1184762049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WALTER J. WULF, DDS, P.A.

Provider Business Mailing Address
First Line	:	2253 CAROLINA BEACH RD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7237
Country	:	US
Telephone Number	:	910-343-0830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2253 CAROLINA BEACH RD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28401-7237
Country	:	US
Telephone Number	:	910-343-0830
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WALTER J. WULF
Credential	:	DDS
Telephone Number	:	910-343-0830

Provider Enumeration Date	:	02/02/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1699638551 — HALEY ELISE JONES LCSWA
Practice Location Address:

202 1/2 PRINCESS ST
WILMINGTON, NC
28401-3951

Practice Phone: 910-202-4326
Practice Fax:

1639574213 — GUZEL AIKOVNA JANSEN
Practice Location Address:

1709 S 16TH ST STE A
WILMINGTON, NC
28401-6491

Practice Phone: 910-452-8633
Practice Fax: 910-452-8569

1972220168 — BENJAMIN RYAN STALEY
Practice Location Address:

1415 PHYSICIANS DR
WILMINGTON, NC
28401-7338

Practice Phone: 910-662-9500
Practice Fax:

1013871334 — NICOLE BRITT RN
Practice Location Address:

2131 S 17TH ST
WILMINGTON, NC
28401-7407

Practice Phone: 910-343-7000
Practice Fax:

1184588402 — MR. BRANDON DEAN LESTER RN
Practice Location Address:

2131 S 17TH ST
WILMINGTON, NC
28401-7407

Practice Phone: 910-667-7000
Practice Fax:

1619001120 — TYLER C WHITESIDE DPT
Practice Location Address:

2467 S 17TH ST UNIT A
WILMINGTON, NC
28401-7903

Practice Phone: 703-980-5570
Practice Fax:

Directions to “WALTER J. WULF, DDS, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.