Lehman Waggener Professional Dental Corporation in Santa Rosa - Periodontics
Lehman Waggener Professional Dental Corporation - NPI 1174664460
Lehman Waggener Professional Dental Corporation is a Periodontics in Santa Rosa, California. Lehman Waggener Professional Dental Corporation practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Lehman Waggener Professional Dental Corporation is 1174664460. The last update date is 2020-08-22.
Lehman Waggener Professional Dental Corporation's current location address is 80 Doctors Park Drive, Santa Rosa, California. You can contact this provider via phone number 7075441836 and fax number 7075420617. The mailing address for Lehman Waggener Professional Dental Corporation is 80 Doctors Park Drive, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lehman Waggener Professional Dental Corporation |
|---|---|
| Address | 80 Doctors Park Drive, Santa Rosa, California |
| Phone Number | 7075441836 |
| Fax Number | 7075420617 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Waggener Johanna Kelly |
| Credentials | DMD |
| Telephone Number | 7075383325 |
NPI Number Detail
| NPI Number | 1174664460 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 80 Doctors Park Drive |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95405 |
| Phone Number | 7075441836 |
| Fax Number | 7075420617 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: 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 structure |
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What is the Lehman Waggener Professional Dental Corporation's 1174664460?
The Lehman Waggener Professional Dental Corporation's NPI (National Provider Identifier) Number is 1174664460. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lehman Waggener Professional Dental Corporation is physically located?
The Lehman Waggener Professional Dental Corporation is physically situated at the following address: 80 Doctors Park Drive, Santa Rosa, CA, 95405.
What is Lehman Waggener Professional Dental Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lehman Waggener Professional Dental Corporation's area of specialization is Periodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174664460 to Lehman Waggener Professional Dental Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1174664460 to Lehman Waggener Professional Dental Corporation on 2007-02-09.
When was the information regarding Lehman Waggener Professional Dental Corporation, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lehman Waggener Professional Dental Corporation, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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