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WALERGA DENTAL GROUP
NPI 1750471140
Dentist - General Practice in Antelope, CA

Active since October 13, 2006CLIA 05D2341477 · Waiver
8008 WALERGA RD, STE. 100, ANTELOPE, CA 95843(916) 725-4530(916) 725-4560 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Walerga Dental Group NPPES

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

WALERGA DENTAL GROUP (NPI 1750471140) is a healthcare organization registered as a general practice in Antelope, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 1, 2028 and lists Timothy Bennett, Owner Dds, as its authorized official.

NPPES Registry Identity

NPI1750471140
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY BENNETT DENTAL CORPORATION
Location Address8008 WALERGA RD, STE. 100Antelope, CA 95843
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 508-3600 · Fax (714) 368-2092
Phone(916) 725-4530
Fax(916) 725-4560
Organization SubpartNo
Authorized OfficialTimothy BennettOwner Dds · (916) 725-4530
Enumeration DateOctober 13, 2006
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1750471140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8008 WALERGA RD, Antelope, CA 95843
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Other Names 1

Doing Business AsWalerga Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2341477

Walerga Dental Group · Antelope, CA
Active · expires Apr 1, 2028
CLIA Number05D2341477
Laboratory TypePractitioner Other
Certificate Effective DateApril 2, 2026
Certificate Expiration DateApril 1, 2028
Laboratory DirectorAhmad Mokbil
Laboratory Phone(916) 725-4530
Laboratory LocationWalerga Dental Group8008 Walerga Rd Ste 100, Antelope, CA 95843
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AHMAD MOKBIL
Dentist
8008 WALERGA RD
ANTELOPE, CA 95843
Sacramento County (602) 303-1062
KAROL MARIA LANGUMAS GONZALEZ DDS
Dentist (General Practice)
8008 WALERGA RD
ANTELOPE, CA 95843
Sacramento County (916) 725-4530

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 Timothy Bennett Dental Corporation's NPI number?

The NPI number for Timothy Bennett Dental Corporation is 1750471140. It was assigned to this organization in the NPPES registry on October 13, 2006. The provider is doing business as Walerga Dental Group.

Where is Timothy Bennett Dental Corporation located?

Timothy Bennett Dental Corporation is located at 8008 Walerga Rd Ste. 100, Antelope, CA 95843. The listed phone number is (916) 725-4530.

What is Timothy Bennett Dental Corporation's specialty?

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

Does Timothy Bennett Dental Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2341477) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timothy Bennett Dental Corporation was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.