| Lloyd B. Wolfe, Jr., D.m.d. | |
|
406 Briarwood Dr Ste 102 Jackson MS 39206-3059 | |
| (601) 957-9200 | |
| (601) 957-2060 |
| Full Name | Lloyd B. Wolfe, Jr., D.m.d. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 406 Briarwood Dr Ste 102, Jackson, Mississippi |
| Authorized Official Name and Position | Lloyd B. Wolfe (ORTHODONTIST) |
| Authorized Official Contact | 6019579200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lloyd B. Wolfe, Jr., D.m.d. 406 Briarwood Dr Ste 102 Jackson MS 39206-3059 Ph: (601) 957-9200 | Lloyd B. Wolfe, Jr., D.m.d. 406 Briarwood Dr Ste 102 Jackson MS 39206-3059 Ph: (601) 957-9200 |
| NPI Number | 1023239068 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023239068 | NPI | - | NPPES |
| 01589571 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 210884 (Mississippi) | Primary |
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