Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154484335 Individual Practitioner Male Practitioner

Dr. Jack Edwin Wolf , DMD

Dentist - General Practice • Chesterfield, MO

Professional Overview & Biography Verified Profile Summary

Dr. Jack Wolf, DMD is a registered healthcare professional specializing in Dentist - General Practice in Chesterfield, MO. Practice services are available at 139 LONG RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

139 Long Rd

Chesterfield, MO 630051223

Telephone 6365307260
Fax 6367339084
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chesterfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
30 Specialists

Practicing in Chesterfield, MO (2113 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO DEN14616

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 21, 2019

Registered at 139 LONG RD, CHESTERFIELD, MO 630051223 (Tel: 6365307260)

📍
Updated Business Mailing Address August 21, 2019

Registered at 139 LONG RD, CHESTERFIELD, MO 630051223 (Tel: 6365307260)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 109 LONG RD, CHESTERFIELD, MO 63005 (Tel: 6365307260)

📍
Updated Business Mailing Address July 08, 2007

Registered at 109 LONG RD, CHESTERFIELD, MO 63005 (Tel: 6365307260)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK WOLF, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DEN14616 in MO)

🟢
Initial NPI Registration & Enumeration December 18, 2006

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: 1154484335
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: August 21, 2019
Sole Proprietor: No

Mailing Address

139 Long Rd

Chesterfield, MO 630051223

Phone: 6365307260

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.