Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457844094 Individual Practitioner Male Practitioner

Dr. Kevin Thomas Wolf , DMD

Dentist - General Practice • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Wolf, DMD is a registered healthcare professional specializing in Dentist - General Practice in Decatur, IL. Practice services are available at 1353 E MOUND RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1353 E Mound Rd Ste 101

Decatur, IL 625263600

Telephone 2178757600
Associated Practice Facility / Clinic
🏢 Wolf And Osborne, Ltd Facility NPI 1801263272

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Decatur, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Decatur, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.031678

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019.031678

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Larry Osborne , DMD

Dentist - General Practice

NPI 1982726352

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 28, 2022

Registered at 1353 E MOUND RD STE 101, DECATUR, IL 625263600 (Tel: 2178757600)

📍
Updated Business Mailing Address December 28, 2022

Registered at 1353 E MOUND RD STE 101, DECATUR, IL 625263600 (Tel: 2178757600)

NPI Profile Active June 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2018

Registered at 7124 W DIVERSEY AVE, CHICAGO, IL 607071601 (Tel: 2173617047)

📍
Updated Business Mailing Address June 08, 2018

Registered at 1929 KEYS AVE, SPRINGFIELD, IL 627023019 (Tel: 2173617047)

👤
Provider Name / Credentials Updated June 08, 2018

Recorded as KEVIN WOLF, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2018

Dentist (License #019.031678 in IL)

🟢
Initial NPI Registration & Enumeration June 08, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457844094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2018
Last Update: December 28, 2022
Sole Proprietor: No

Mailing Address

1353 E Mound Rd Ste 101

Decatur, IL 625263600

Phone: 2178757600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.