BRETT MICHAEL WONENBERG DDS NPI 1073783163

NPI Information

NPI: 1073783163
Provider Name: BRETT MICHAEL WONENBERG, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1730 MAIN ST
SUITE A
FORTUNA, CA
ZIP 95540
Phone: (707) 725-1303
Get Directions

Brett Michael Wonenberg, DDS is a general practice dentist in Fortuna, CA. 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. Brett Michael Wonenberg, DDS NPI is 1073783163. 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:

1730 MAIN ST
SUITE A
FORTUNA, CA
ZIP 95540-451
Phone: (707) 725-1303
Fax: (707) 725-1358

The enumeration date for this NPI number is 3/5/2008 and was last updated on 3/5/2008.

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
1	1223G0001X	Dentist	General Practice	49706	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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