National Provider Identifier Database

LISA M WENTZ, DDS – NPI #1073697306
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.


Contact Information

LISA M WENTZ, DDS
4013-84TH ST
LUBBOCK, TX79423
Phone: 806-794-8365
Fax:
Website:
Specialty Taxonomy Code
* Periodontics 1223P0300X

* Indicates primary specialty

NPI Profile & details for LISA M WENTZ

NPI Number 1073697306
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: 15004
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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