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Contact Information

TANNER J WOLF, DMD
2817 ROCK MERRITT AVE
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC28310
 Phone: 910-907-8922
 Fax: 910-907-6069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TANNER J WOLF · (Male)

NPI Number 1134895832
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/22/2021
Last updated 03/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NC License # 12314
  • NC Other 12314 DENTAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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