1. Home
  2. Directory
  3. California
  4. Ukiah
  5. Oral Maxillofacial Surgery
  6. NPI Profile

WANDELL DENTAL CORPORATION
NPI 1407601164
Oral & Maxillofacial Surgery in Ukiah, CA

Active since April 17, 2024
620 S DORA ST STE 205, UKIAH, CA 95482(707) 462-6983(707) 462-6984 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wandell Dental Corporation NPPES

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

WANDELL DENTAL CORPORATION (NPI 1407601164), doing business as Healdsburg Oral Surgery & Dental Implants, is a healthcare organization registered as an oral & maxillofacial surgery in Ukiah, California and active in the NPI registry since April 2024. The organization maintains a secondary practice location in Healdsburg and lists Adam Joshua Farrell Wandell, Owner, as its authorized official.

NPPES Registry Identity

NPI1407601164
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameWANDELL DENTAL CORPORATION
Location Address620 S DORA ST STE 205Ukiah, CA 95482-5482
Mailing Address620 S Dora St Ste 205Ukiah, CA 95482-5482 · (707) 462-6983 · Fax (707) 462-6984
Phone(707) 462-6983
Fax(707) 462-6984
Organization SubpartNo
Authorized OfficialAdam Joshua Farrell WandellOwner · (650) 714-3694
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1407601164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
620 S DORA ST STE 205, Ukiah, CA 95482
Open in Google Maps ↗

Other Names 2

Doing Business AsHealdsburg Oral Surgery & Dental Implants
Doing Business AsUkiah Oral Surgery & Dental Implants

Secondary Practice Location 1

Location 1445 March Ave Ste BHealdsburg, CA 95448-3383 · Phone (707) 433-0231 · Fax (707) 433-0238

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

LELIS WANDELL DENTAL PARTNERSHIP
Oral & Maxillofacial Surgery
620 S DORA ST STE 205
UKIAH, CA 95482
Mendocino County (707) 462-6938

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 Wandell Dental Corporation's NPI number?

The NPI number for Wandell Dental Corporation is 1407601164. It was assigned to this organization in the NPPES registry on April 17, 2024. The provider is doing business as Healdsburg Oral Surgery & Dental Implants and Ukiah Oral Surgery & Dental Implants.

Where is Wandell Dental Corporation located?

Wandell Dental Corporation is located at 620 S Dora St Ste 205, Ukiah, CA 95482. The listed phone number is (707) 462-6983.

What is Wandell Dental Corporation's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Wandell Dental Corporation was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.