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NPI Code Detail

MEDICARE: DR. ERIC P. WOLFINGER DDS

MEDICARE:  DR. ERIC P. WOLFINGER  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
11223G0001XGeneral Practice Dentistry6895NC

General Provider Information

NPI Number : 1205957701
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC P. WOLFINGER DDS
Provider Business Mailing Address
First Line : 201 PROVIDENCE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1464
Country : US
Telephone Number : 704-376-6470
Fax Number : 704-496-2915
Provider Business Practice Location Address
First Line : 201 PROVIDENCE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28207-1464
Country : US
Telephone Number : 704-376-6470
Fax Number : 704-496-2915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ERIC P. WOLFINGER DDS” Practice Location

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