MEDICARE: J.H. WOLFF, DMD, PA

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	DN6519	FL

General Provider Information

NPI Number	:	1265640098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J.H. WOLFF, DMD, PA

Provider Business Mailing Address
First Line	:	5766 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4343
Country	:	US
Telephone Number	:	561-684-3505
Fax Number	:	561-684-9277

Provider Business Practice Location Address
First Line	:	5766 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4343
Country	:	US
Telephone Number	:	561-684-3505
Fax Number	:	561-684-9277

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEFFREY H. WOLFF
Credential	:	D.M.D.
Telephone Number	:	561-684-3505

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/05/2008

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