WILMONTE LEE PENNER (NPI# 1205975059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205975059 |
| Entity Type | Individual |
| Full Name | WILMONTE LEE PENNER |
| Credential | D.D.S., M.S. |
| Practice Address |
3960 El Camino Ave #6 Sacramento CA 95821-6534 |
| Mailing Address |
900 Saverien Dr Sacramento CA 95864-6145 |
| Practice Telephone | 9164841133 |
| Practice Fax Number | 9164841134 |
| Mailing Telephone | 9164813213 |
| Enumeration Date | 2007-02-06 |
| 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 |
13882 | CA | Dental Providers |
| Street Address |
3960 EL CAMINO AVE #6 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95821-6534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619795 | Robert N Katibah | Dentist | 3960 El Camino Ave, Ste 4, Sacramento, CA 95821-6534 | 2005-06-17 |
| 1972916369 | Upendra J Patel Dds Inc | Dentist | 3960 El Camino Ave, Suite 2, Sacramento, CA 95821-6534 | 2014-06-04 |
| 1801048566 | Jeffrey Jason Rosa | Dentist | 3960 El Camino Ave, 5, Sacramento, CA 95821-6534 | 2008-10-14 |
| 1235349010 | John Bishop Childers | Dentist | 3960 El Camino Ave, Ste #3, Sacramento, CA 95821-6534 | 2007-05-23 |
| 1801010699 | Gordon Ladd Douglass | Dentist | 3960 El Camino Ave, Suite 1, Sacramento, CA 95821-6534 | 2007-04-12 |
| 1649337270 | Upendra Patel | Dentist | 3960 El Camino Ave, Suite 2, Sacramento, CA 95821-6534 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100717 | Denise Renee Landgraf | Licensed Vocational Nurse | 3615 Marconi Ave, Sacramento, CA 95821 | 2020-10-05 |
| 1770053258 | Oksana A Shutkova | Behavior Technician | 2823 El Camino Avenue, Appt #19, Sacramento, CA 95821 | 2018-11-28 |
| 1871063420 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 3800 Watt Avenue Suite 151, Sacramento, CA 95821 | 2018-11-27 |
| 1386123438 | Rene William Villanueva | Marriage & Family Therapist | 3650 Auburn Blvd Bldg C-208, Sacramento, CA 95821 | 2018-08-09 |
| 1558853135 | Behavioral Health Solutions of The Pacific | Clinic/Center | 2829 Watt Avenue, Suite 200, Sacramento, CA 95821 | 2018-05-31 |
| 1679064091 | Carrissa Jean Angelique Bishop | Counselor | 3550 Watt Avenue, Suite 140, Sacramento, CA 95821 | 2018-05-21 |
| 1164943049 | Vanessa Selene Tinajero | Social Worker | 3615 Macorni Ave, Sacramento, CA 95821 | 2017-06-30 |
| 1316488562 | Lucas Hansen | Student in an Organized Health Care Education/Training Program | 3007 Clairidge Oak Ct, Sacramento, CA 95821 | 2017-03-20 |
| 1215383054 | Mark Brufladt | Physical Therapy Assistant | 3548 Ardmore Rd, Sacramento, CA 95821 | 2016-05-11 |
| 1053782789 | Marianna Jakucska | Marriage & Family Therapist | 2740 Fulton Ave Ste 100c, Sacramento, CA 95821 | 2015-10-07 |
| Find all providers in zip 95821 | ||||
| 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 |
|---|---|---|---|---|
| 1245854157 | G. Adams Dds, Inc. | Dentist | 10315 Tranquil Glen Ct, Sacramento, CA 95829-6579 | 2020-06-05 |
| 1174176903 | Andrew Laflamme | Dentist | 3960 El Camino Ave Ste 6, Sacramento, CA 95821-6534 | 2019-07-21 |
| 1558619197 | Annie Shih, Dds, Inc | Dentist | 2237 Park Towne Cir Ste 1, Sacramento, CA 95825-0417 | 2012-08-28 |
| 1922380310 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 4150 Truxel Road, Suite B, Sacramento, CA 95834 | 2011-09-13 |
| 1851618441 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1580 Howe Ave, Sacramento, CA 95825 | 2010-04-23 |
| 1649445057 | Nimrat K Heir | Dentist | 3645 Northgate Blvd Ste A, Sacramento, CA 95834-1641 | 2008-04-25 |
| 1053500959 | Stacie Dawn Fenderson | Dentist | 8689 Folsom Blvd, Sacramento, CA 95826 | 2007-10-17 |
| 1093833808 | Damon Peter Szymanowski | Dentist | 2 Scripps Dr Ste 303, Sacramento, CA 95825-6207 | 2007-03-27 |
| 1821128489 | Jennifer Lynn Drew | Dentist | 3960 El Camino Avenue Ste. 6, Sacramento, CA 95821 | 2007-03-06 |
| 1750418620 | David Lee Markham | Dentist | 2420 Del Paso Rd Ste 125, Sacramento, CA 95834-9678 | 2007-02-27 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95821 |
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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.