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LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION NPI 1174664460


NPI Information

NPI: 1174664460
Provider Name: LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
80 DOCTORS PARK DRIVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 544-1836
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LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION is an endodontics dentist in Santa Rosa, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION NPI is 1174664460. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

80 DOCTORS PARK DRIVE
SANTA ROSA, CA
ZIP 95405
Phone: (707) 544-1836
Fax: (707) 542-0617

The provider's authorized official is Kelly Johanna Waggener .
The authorized official title is President and has the following contact phone number (707) 538-3325.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodonticsYes
21223G0001XDentistGeneral PracticeX
31223P0300XDentistPeriodonticsX

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

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