Provider Demographics
NPI:1649062951
Name:WOLKOFF DENTISTRY LLC
Entity type:Organization
Organization Name:WOLKOFF DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLKOFF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:816-531-8000
Mailing Address - Street 1:411 NICHOLS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2015
Mailing Address - Country:US
Mailing Address - Phone:816-531-8000
Mailing Address - Fax:
Practice Address - Street 1:411 NICHOLS RD STE 200
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2015
Practice Address - Country:US
Practice Address - Phone:816-531-8000
Practice Address - Fax:816-531-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty