Dr. Lisa Mcdaniel Wentz
Periodontist
4013-84th St
Lubbock
, Texas 79423
Dr. Lisa Mcdaniel Wentz
Periodontist
4013-84th St
Lubbock
, Texas 79423
(806) 745-1812
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Lisa Mcdaniel Wentz
- 2 S Lakeshore Dr
- Ransom Canyon, TX
- Zip : 79366-2412
- Phone : (806) 745-1812
Second Address
- Dr. Lisa Mcdaniel Wentz
- 4013-84th St
- Lubbock, TX
- Zip : 79423
- Phone : (806) 794-8365
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 15004 | TX |
National Provider Identifier
| NPI | 1073697306 |
|---|---|
| Provider Name | Dr. Lisa Mcdaniel Wentz |
| First Address | Ransom Canyon, TX 79366-2412 |
| Second Address | Lubbock, TX 79423 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.