Lehman Waggener Professional Dental Corporation

LBN: Lehman Waggener Professional Dental Corporation
Lehman Waggener Professional Dental Corporation is an health care organization with primary practice located at 80 Doctors Park Drive , Santa Rosa CA 95405. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Endodontics is the primary health care specialty. Lehman Waggener Professional Dental Corporation can be contacted via phone (707) 544-1836, or through Waggener, Kelly Johanna via phone (707) 538-3325.

Contact Information

Primary practice address
80 Doctors Park Drive Santa Rosa CA 95405
Phone: (707) 544-1836
Fax: (707) 542-0617
Website:
Map and Directions
Authorized official contact:
Name: Waggener, Kelly Johanna Doctor of Dental Medicine (DMD)
Phone: (707) 538-3325

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1174664460
LBN Legal business name Lehman Waggener Professional Dental Corporation
DBA Doing business as
Authorized official Waggener, Kelly Johanna Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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