Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jack Edwin Wolf, DMD

Individual provider General Practice Dentistry · NPI 1154484335

Dr. Jack Edwin Wolf, DMD is a General Practice Dentistry in Chesterfield, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

139 Long Rd
Chesterfield, MO 63005-1223
Phone: (636) 530-7260
Fax: (636) 733-9084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DEN14616 (MO)

Record details

NPI number1154484335
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESAugust 21, 2019
Mailing address139 Long Rd, Chesterfield, MO 63005-1223

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