RALPH B WAUGH DDS MD INC


Address: 119 S Gold Canyon, Ridgecrest, CA 93555
Phone: 7603751511

RALPH B WAUGH DDS MD INC (NPI# 1336333780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336333780
Entity Type Organization
Organization Name RALPH B WAUGH DDS MD INC
Practice Address 119 S Gold Canyon
Ridgecrest
CA 93555
Practice Telephone 7603751511
Practice Fax Number 7603755980
Mailing Telephone 7603751511
Mailing Fax Number 7603755980
Enumeration Date 2007-08-29
Last Update Date 2007-08-29
Authorized Official Name MR. RALPH B WAUGH (PRESIDENT OF CORPORATION)
Authorized Official Telephone 6619485061
Authorized Official Credential DDS MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery A22524 CA Allopathic & Osteopathic Physicians
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
14900 CA Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A22540 05
CA DENTAL 14900 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386843886 Ralph B Waugh Dds Md Inc Surgery 43713 20th St W, #1, Lancaster, CA 93534 2007-07-13

Office Location

Street Address 119 S GOLD CANYON
City RIDGECREST
State CA
Zip Code 93555

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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

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1497014146 Brent J Ramsey Dentist 27450 Tourney Rd Ste 160, Valencia, CA 91355-1863 2012-05-15
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1891987913 Mahvash Navazesh Dentist 925 W 34th St Ste 151, Los Angeles, CA 90089-0641 2007-08-13
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Competitor

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City RIDGECREST
Zip Code 93555

Improve Information

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Dataset Information

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.

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