Dr. Kelly Johanna Waggener is a Santa Rosa, California based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Kelly Johanna Waggener is 48404 for General Practice Dentistry in California. Her current practice location is 80 Doctors Park Dr, Santa Rosa. Patients can reach her at 707-544-1836.
Dr. Kelly Johanna Waggener is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Kelly Johanna Waggener speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Kelly Johanna Waggener
Specialization:
Dentist
Gender:
Female
Credentials:
D.M.D
Accepts Medicare Assignment:
No
Practice Address:
80 Doctors Park Dr, Santa Rosa, California, 95405-6615
Phone:
707-544-1836
Fax:
707-542-0617
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1629111604
NPI Enumeration Date:
15 Feb, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kelly Johanna Waggener are as mentioned below.
License Number
Specialization
State
Status
48404
General Practice Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
80 Doctors Park Dr, Santa Rosa, California
Zip:
95405-6615
Phone Number:
707-544-1836
Fax Number:
707-542-0617
Patients can reach Dr. Kelly Johanna Waggener at 80 Doctors Park Dr, Santa Rosa, California or can call to book an appointment on 707-544-1836. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.