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

Kevin Thomas Wolf, DMD

Individual provider Dentist · NPI 1457844094

Kevin Thomas Wolf, DMD is a Dentist in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
Specialties on file
2
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

1353 E Mound Rd Ste 101
Decatur, IL 62526-3600
Phone: (217) 875-7600
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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 019.031678 (IL)
Dentist Taxonomy 122300000X · Licence 019.031678 (IL)

Record details

NPI number1457844094
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESDecember 28, 2022
Certification dateDecember 27, 2022
Mailing address1353 E Mound Rd Ste 101, Decatur, IL 62526-3600

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