| Lloyd B. Wolfe, Jr., D.m.d. | |
|
92 Hal Crocker Rd Ellisville MS 39437-2089 | |
| (601) 261-0105 | |
| (601) 800-8064 |
| Full Name | Lloyd B. Wolfe, Jr., D.m.d. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 92 Hal Crocker Rd, Ellisville, Mississippi |
| Authorized Official Name and Position | Lloyd B Wolfe (ORTHODONTIST) |
| Authorized Official Contact | 6012610105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd B. Wolfe, Jr., D.m.d. 92 Hal Crocker Rd Ellisville MS 39437-2089 Ph: (601) 261-0105 | Lloyd B. Wolfe, Jr., D.m.d. 92 Hal Crocker Rd Ellisville MS 39437-2089 Ph: (601) 261-0105 |
| NPI Number | 1154533834 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 06/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154533834 | NPI | - | NPPES |
| 05875831 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 210884 (Mississippi) | Primary |
Ellisville State School Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-9384 Fax: 601-477-5700 | |
Ellisville Family Dental Center Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-3771 | |
Dental Group Of Ellisville, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Hal Crocker Road, Ellisville, MS 39437 Phone: 601-477-3779 Fax: 601-477-3770 |