DR. LISA G WU D.D.S.
NPI 1700191202
Dentist in Mcconnell Afb, KS

Q: What is Lisa Wu's NPI number?

The NPI number for Lisa Wu is 1700191202. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Q: What is Lisa Wu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Wu was last updated on June 12, 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.

Active since August 10, 2010

57950 LEAVENWORTH ST BLDG 250, MCCONNELL AFB, KS 67221(316) 759-6300 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Aug 3, 2021, Oct 24, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Lisa G Wu D.d.s. NPPES

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

DR. LISA G WU D.D.S. (NPI 1700191202) is an individual dentist in Mcconnell Afb, Kansas, licensed in California (64929) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1700191202

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. LISA G WUCredential: D.D.S.

Location Address57950 LEAVENWORTH ST BLDG 250Mcconnell Afb, KS 67221-3505

Mailing Address13631 Nimes CtChino Hills, CA 91709-1382 · (909) 548-2289

Phone(316) 759-6300

Sole ProprietorNo

Enumeration DateAugust 10, 2010

Last NPPES UpdateJune 12, 20244 updates tracked since enumeration

NPPES CertifiedJune 12, 2024

✔ NPI 1700191202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 64929

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D14112 (MN)

Also ListedDental HygienistTaxonomy 124Q00000X · License 25146 (CA)

57950 LEAVENWORTH ST BLDG 250, Mcconnell Afb, KS 67221

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 19

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

MICHELLE RENEE ALDERS D.O.

Internal Medicine (Critical Care Medicine)