Individual provider · Type 1 NPI

Andres Jimenez Wolf, DDS, MSD

Periodontics · Manalapan, NJ

NPI number 1124410741 Active

Practice location

193 US Highway 9 Ste 2C
Manalapan, NJ 07726-3016

Mailing address

900 E Fort Ave Apt 803
Baltimore, MD 21230-5510

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X16795 (MD)
Periodontics 1223P0300XDS041521 (PA)
Periodontics 1223P0300XDEN1002200 (DC)
Periodontics Primary 1223P0300X22DI02877900 (NJ)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1124410741

Andres Jimenez Wolf, DDS, MSD's National Provider Identifier is 1124410741, issued on Feb 19, 2015. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Manalapan, NJ. The record was last updated on Jan 11, 2022.