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DR. JACK EDWIN WOLF DMD
NPI 1154484335
Dentist - General Practice in Chesterfield, MO

Active since December 18, 2006
139 LONG RD, CHESTERFIELD, MO 63005(636) 530-7260(636) 733-9084 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Edwin Wolf Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK EDWIN WOLF DMD (NPI 1154484335) is an individual general practice provider in Chesterfield, Missouri, licensed in Missouri (DEN14616) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1154484335
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACK EDWIN WOLFCredential: DMD
Location Address139 LONG RDChesterfield, MO 63005-1223
Mailing Address139 Long RdChesterfield, MO 63005-1223 · (636) 530-7260 · Fax (636) 733-9084
Phone(636) 530-7260
Fax(636) 733-9084
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateAugust 21, 2019
✔ NPI 1154484335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · DEN14616
Definition
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.
139 LONG RD, Chesterfield, MO 63005
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPIRIT OF HEALTH CHIROPRACTIC WELLNESS CENTER, LLC
Clinic/Center
139 LONG RD
CHESTERFIELD, MO 63005
St. Louis County (636) 896-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wolf's NPI number?

The NPI number for Jack Wolf is 1154484335. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Jack Wolf located?

Jack Wolf practices at 139 Long Rd, Chesterfield, MO 63005. The listed phone number is (636) 530-7260.

What is Jack Wolf's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Wolf accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jack Wolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Wolf was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.