Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lehman Waggener Professional Dental Corporation

Organization Endodontics · NPI 1174664460

Lehman Waggener Professional Dental Corporation is an Endodontics in Santa Rosa, California. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
3

Practice location Address checks out

80 Doctors Park Dr
Santa Rosa, CA 95405
Phone: (707) 544-1836
Fax: (707) 542-0617
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Endodontics Taxonomy 1223E0200X
Periodontics Taxonomy 1223P0300X

Record details

NPI number1174664460
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Waggener — President · (707) 538-3325
NPI enumeratedFebruary 9, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address80 Doctors Park Drive, Santa Rosa, CA 95405

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