DR. EDWIN CLARENCE WENTZ (NPI# 1740364074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740364074 |
Entity Type | Individual |
Full Name | DR. EDWIN CLARENCE WENTZ |
Credential | D.D.S |
Practice Address |
4013-84th Lubbock TX 79423 |
Mailing Address |
#2 Lakeshore Drive Ransom TX 79366 |
Practice Telephone | 8067927223 |
Mailing Telephone | 8067451812 |
Enumeration Date | 2006-10-24 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14591 | TX | Dental Providers |
Street Address |
4013-84TH |
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 | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326379777 | John Francis Brown | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2010-01-25 |
1902013881 | St. Clair and St. Clair Orthodontics | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2007-05-17 |
1992928246 | Joe Forsman | Dentist | 6400 Quaker Ave, Lubbock, TX 79413-5143 | 2007-04-11 |
1689641862 | Jeff G. Keeling | Dentist | 5203 79th St, Suite A, Lubbock, TX 79424-2850 | 2006-03-07 |
1891227831 | Nicole Kim | Dentist | 2903 50th St, Lubbock, TX 79413-4323 | 2017-03-29 |
1679028484 | Christopher Carrel Massey | Dentist | 5203 79th St Ste H, Lubbock, TX 79424-2894 | 2016-08-22 |
1669867263 | Braces Braces Braces of Abbeville - Lubbock Pllc | Dentist | 3801 50th St, Suite 15, Lubbock, TX 79413-3807 | 2015-03-31 |
1780938902 | Claudio Caycedo Dds, Pa | Dentist | 2430 Quaker Ave, Lubbock, TX 79410-1834 | 2012-11-09 |
1255660460 | Derid Ure | Dentist | 4601 50th St, Suite 206, Lubbock, TX 79414-3513 | 2009-12-17 |
1205062296 | Stephen Joseph Breaud | Dentist | 4630 50th St, Ste 505, Lubbock, TX 79414-3521 | 2009-06-03 |
Find all providers in LUBBOCK |
Please comment or provide details below to improve the information on DR. EDWIN CLARENCE WENTZ.
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.