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CALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC
NPI 1265167985
Dentist - Pediatric Dentistry in Visalia, CA

Active since July 18, 2022
136 S ASPEN CT, VISALIA, CA 93291(559) 625-9300(717) 759-4336 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 29, 2025, Oct 7, 2022, Jul 18, 2022 (3 updates tracked since 2022).

About California Dental A Waggoner Dental Group Inc NPPES

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

CALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC (NPI 1265167985) is a healthcare organization registered as a pediatric dentistry in Visalia, California and active in the NPI registry since July 2022. The organization maintains 5 additional practice locations and lists William Waggoner, Owner, as its authorized official.

NPPES Registry Identity

NPI1265167985
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC
Location Address136 S ASPEN CTVisalia, CA 93291-5175
Mailing Address9709 Lakeside Blvd Ste 350Spring, TX 77381-1216 · (713) 489-2198 · Fax (713) 489-2978
Phone(559) 625-9300
Fax(717) 759-4336
Organization SubpartNo
Authorized OfficialWilliam WaggonerOwner · (702) 339-6729
Enumeration DateJuly 18, 2022
Last NPPES UpdateDecember 29, 20253 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1265167985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
136 S ASPEN CT, Visalia, CA 93291
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Secondary Practice Locations 5

Location 13605 Hospital Rd Ste HAtwater, CA 95301-5173 · Phone (209) 381-2047 · Fax (209) 381-2045
Location 22828 Fresno St Ste 100Fresno, CA 93721-1327 · Phone (559) 263-9648
Location 32120 19th StBakersfield, CA 93301-3709 · Phone (661) 213-4813
Location 41418 E Main St Ste 110Santa Maria, CA 93454-4836 · Phone (805) 623-0330 · Fax (805) 436-1951
Location 51523 E March Ln Ste AStockton, CA 95210-5607 · Phone (209) 952-9000 · Fax (209) 373-1190

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CALIFORNIA DENTAL TEAM A ZUIDERVELD DENTAL GROUP INC
Dentist (Pediatric Dentistry)
136 S ASPEN CT
VISALIA, CA 93291
Tulare County (559) 625-9300
TRACY GUY LAW D.D.S.
Dentist (General Practice)
136 S ASPEN CT, STE B
VISALIA, CA 93291
Tulare County (559) 625-9300
ELLIE J. ZUIDERVELD
Clinic/Center (Dental)
136 S ASPEN CT
VISALIA, CA 93291
Tulare County (559) 625-9300
DR. CHARLES SHUBERT RICKS DDS
Dentist (Oral and Maxillofacial Surgery)
136 S ASPEN CT, SUITE B
VISALIA, CA 93291
Tulare County (559) 625-9300

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 California Dental A Waggoner Dental Group Inc's NPI number?

The NPI number for California Dental A Waggoner Dental Group Inc is 1265167985. It was assigned to this organization in the NPPES registry on July 18, 2022.

Where is California Dental A Waggoner Dental Group Inc located?

California Dental A Waggoner Dental Group Inc is located at 136 S Aspen Ct, Visalia, CA 93291. The listed phone number is (559) 625-9300.

What is California Dental A Waggoner Dental Group Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does California Dental A Waggoner Dental Group Inc accept?

Health plans from UnitedHealthcare list California Dental A Waggoner Dental Group Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for California Dental A Waggoner Dental Group Inc was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.