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LELIS WANDELL DENTAL PARTNERSHIP
NPI 1902650971
Oral & Maxillofacial Surgery in Ukiah, CA

Active since April 15, 2024
620 S DORA ST STE 205, UKIAH, CA 95482(707) 462-6938 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lelis Wandell Dental Partnership NPPES

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

LELIS WANDELL DENTAL PARTNERSHIP (NPI 1902650971), 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, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1902650971
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameLELIS WANDELL DENTAL PARTNERSHIP
Location Address620 S DORA ST STE 205Ukiah, CA 95482-5482
Mailing Address620 S Dora St Ste 205Ukiah, CA 95482-5482 · (707) 462-6938
Phone(707) 462-6938
Organization SubpartNo
Authorized OfficialAdam Joshua Farrell WandellCo-owner · (707) 433-0231
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1902650971 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
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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

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.

WANDELL DENTAL CORPORATION
Oral & Maxillofacial Surgery
620 S DORA ST STE 205
UKIAH, CA 95482
Mendocino County (707) 462-6983

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 Lelis Wandell Dental Partnership's NPI number?

The NPI number for Lelis Wandell Dental Partnership is 1902650971. It was assigned to this organization in the NPPES registry on April 15, 2024. The provider is doing business as Healdsburg Oral Surgery & Dental Implants and Ukiah Oral Surgery & Dental Implants.

Where is Lelis Wandell Dental Partnership located?

Lelis Wandell Dental Partnership is located at 620 S Dora St Ste 205, Ukiah, CA 95482. The listed phone number is (707) 462-6938.

What is Lelis Wandell Dental Partnership'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 Lelis Wandell Dental Partnership was last updated on April 15, 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.