Wilmonte Lee Penner in Sacramento - Orthodontics And Dentofacial Orthopedics
Wilmonte Lee Penner - NPI 1205975059
Wilmonte Lee Penner is a Orthodontics And Dentofacial Orthopedics in Sacramento, California. Wilmonte Lee Penner practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Wilmonte Lee Penner is 1205975059. The last update date is 2007-07-08.
Wilmonte Lee Penner's current location address is 3960 El Camino Ave, Sacramento, California. You can contact this provider via phone number 9164841133 and fax number 9164841134. The mailing address for Wilmonte Lee Penner is 3960 El Camino Ave, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wilmonte Lee Penner |
|---|---|
| Address | 3960 El Camino Ave, Sacramento, California |
| Phone Number | 9164841133 |
| Fax Number | 9164841134 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1205975059 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3960 El Camino Ave |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958216534 |
| Phone Number | 9164841133 |
| Fax Number | 9164841134 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 13882 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Wilmonte Lee Penner's unique identification number?
The Wilmonte Lee Penner has been assigned the NPI (National Provider Identifier) Number 1205975059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Wilmonte Lee Penner's physical address?
The Wilmonte Lee Penner is physically located at 3960 El Camino Ave, in the city of Sacramento, CA, with the postal code 958216534.
What is the area of specialization for Wilmonte Lee Penner, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wilmonte Lee Penner is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205975059 to Wilmonte Lee Penner?
The Centers for Medicare & Medicaid Services assigned the 1205975059 to Wilmonte Lee Penner on 2007-02-06.
As of what date was the information regarding Wilmonte Lee Penner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wilmonte Lee Penner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.