DR. MICHAEL WOLLOCK NPI 1912064049

NPI Information

  • NPI: 1912064049
  • Provider Name: DR. MICHAEL WOLLOCK
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 32 PARKING PLZ
    604 THE TIMES BLDG, SUBURBAN SQUARE
    ARDMORE, PA
    ZIP 19003
  • Phone: (610) 649-0313

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NPI Details

DR. Michael Wollock is a general practice dentist in Ardmore, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Michael Wollock NPI is 1912064049. 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:

32 PARKING PLZ
604 THE TIMES BLDG, SUBURBAN SQUARE
ARDMORE, PA
ZIP 19003-415
Phone: (610) 649-0313

The enumeration date for this NPI number is 1/1/2007 and was last updated on 7/8/2007.

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
11223G0001XDentistGeneral PracticeDS 030219LPENNSYLVANIAYes

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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