Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LILLIAN WOLLENBERG, D.M.D
ActiveJESSICA LILLIAN WOLLENBERG, D.M.D is a Orthodontics & Dentofacial Orthopedics healthcare provider located in RANDOLPH, New Jersey. NPI 1770801888 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · RANDOLPH, NJ
Registration Details
- NPI Number
- 1770801888
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 13, 2010 (16.288854808556 yrs)
- Last Updated
- Oct 8, 2013
- License
-
22DI02546000 (NJ)
Practice Information
- Address
-
447 ROUTE 10SUITE 5RANDOLPH, NJ, 078692132Browse NJ providers · Browse ZIP 07869
- Phone
- 9733280464
- Fax
- 9733283405
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.