Dr. Philip Wolkstein, DMD
Dentist, Pediatric Dentistry in San Jose, CA. Individual provider (NPI-1).
NPI number1154334530
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154334530
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Wolkstein
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 23577 | CA | Yes |
Practice location
841 Blossom Hill Rd Ste 210San Jose
San Jose, CA 95123-2704
Phone 408-578-6550 · Fax 408-226-3182
Mailing address
841 Blossom Hill Rd Ste 210San Jose
San Jose, CA 95123-2704
Phone 408-578-6550 · Fax 408-226-3182
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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