KLAUS DETLEF WOLFRAM DDS MS NPI 1346498243

NPI Information

  • NPI: 1346498243
  • Provider Name: KLAUS DETLEF WOLFRAM, DDS, MS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 11092 ANDERSON STREET
    LLU SCHOOL OF DENTISTRY
    LOMA LINDA, CA
    ZIP 92350
  • Phone: (909) 558-4613

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NPI Details

Klaus Detlef Wolfram, DDS, MS is a periodontics dentist in Loma Linda, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Klaus Detlef Wolfram, DDS, MS NPI is 1346498243. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11092 ANDERSON STREET
LLU SCHOOL OF DENTISTRY
LOMA LINDA, CA
ZIP 92350-001
Phone: (909) 558-4613
Fax: (909) 558-4192

The enumeration date for this NPI number is 9/4/2008 and was last updated on 9/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics22036CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
122036OTHERCALIFORNIASTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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