DR. LISA MCDANIEL WENTZ (NPI# 1073697306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697306 |
| Entity Type | Individual |
| Full Name | DR. LISA MCDANIEL WENTZ |
| Credential | D.D.S. |
| Practice Address |
4013-84th St Lubbock TX 79423 |
| Mailing Address |
2 S Lakeshore Dr Ransom Canyon TX 79366-2412 |
| Practice Telephone | 8067948365 |
| Mailing Telephone | 8067451812 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
15004 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871730887 | Lisa Kathleen Wentz | Counselor | 1133 Railroad Ave, Bellingham, WA 98225-5055 | 2009-01-13 |
| Street Address |
4013-84TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1275893489 | Stacie Lynn Neffendorf | Speech-Language Pathologist | 3417 73rd St Ste N, Lubbock, TX 79423 | 2012-05-22 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| Find all providers in zip 79423 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
| 1205972924 | Charles H Gilliam | Dentist | 6500 Quaker Ave Ste E, Lubbock, TX 79413-5138 | 2007-01-29 |
| 1184603243 | Glenn Taylor Mattlage | Dentist | 4415 66th St, Suite 112, Lubbock, TX 79414-4809 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
| 1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
| 1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
| 1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
| 1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
| 1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
| 1528603636 | Toothhq Dental Specialists Cedar Hill Pllc | Dentist | 103 E Belt Line Rd Ste H, Cedar Hill, TX 75104-2274 | 2019-11-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.