LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION
NPI 1174664460
Dentist - General Practice in Santa Rosa, CA

Q: What is Lehman Waggener Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since February 09, 2007

80 DOCTORS PARK DRIVE, SANTA ROSA, CA 95405(707) 544-1836(707) 542-0617 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Lehman Waggener Professional Dental Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION (NPI 1174664460) is a healthcare organization registered as a general practice in Santa Rosa, California and active in the NPI registry since February 2007. The organization lists Kelly Johanna Waggener, President, as its authorized official.

NPPES Registry Identity

NPI1174664460

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLEHMAN WAGGENER PROFESSIONAL DENTAL CORPORATION

Location Address80 DOCTORS PARK DRIVESanta Rosa, CA 95405

Mailing Address80 Doctors Park DriveSanta Rosa, CA 95405 · (707) 544-1836 · Fax (707) 542-0617

Phone(707) 544-1836

Fax(707) 542-0617

Organization SubpartNo

Authorized OfficialKelly Johanna WaggenerPresident · (707) 538-3325

Enumeration DateFebruary 9, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1174664460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

80 DOCTORS PARK DRIVE, Santa Rosa, CA 95405

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lehman Waggener Professional Dental Corporation's NPI number?

The NPI number for Lehman Waggener Professional Dental Corporation is 1174664460. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Lehman Waggener Professional Dental Corporation located?

Lehman Waggener Professional Dental Corporation is located at 80 Doctors Park Drive, Santa Rosa, CA 95405. The listed phone number is (707) 544-1836.

What is Lehman Waggener Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lehman Waggener Professional Dental Corporation was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.