California Dental a Waggoner Dental Group Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC

Practice address

136 S Aspen CT
Visalia, CA 93291-5175

Phone

(559) 625-9300

Fax

(717) 759-4336

NPI assigned

Jul 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Waggoner, DDS

Title

Owner

Phone

(702) 339-6729

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1265167985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 LAKESIDE BLVD STE 350",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773811216",
            "telephone_number": "713-489-2198",
            "fax_number": "713-489-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S ASPEN CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915175",
            "telephone_number": "559-625-9300",
            "fax_number": "717-759-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Hospital Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Atwater",
            "state": "CA",
            "postal_code": "953015173",
            "country_code": "US",
            "telephone_number": "209-381-2047",
            "fax_number": "209-381-2045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 Fresno St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211327",
            "country_code": "US",
            "telephone_number": "559-263-9648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 19th St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933013709",
            "country_code": "US",
            "telephone_number": "661-213-4813",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1418 E Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "934544836",
            "country_code": "US",
            "telephone_number": "805-623-0330",
            "fax_number": "805-436-1951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 E March Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952105607",
            "country_code": "US",
            "telephone_number": "209-952-9000",
            "fax_number": "209-373-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CALIFORNIA DENTAL A WAGGONER DENTAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-339-6729",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Visalia, CA
• Providers in Visalia, CA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.