Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700191202 Individual Practitioner Female Practitioner

Dr. Lisa G Wu , DDS

Dentist • Mcconnell Afb, KS

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Wu, DDS is a registered healthcare professional specializing in Dentist in Mcconnell Afb, KS. Practice services are available at 57950 LEAVENWORTH ST BLDG 250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

57950 Leavenworth St Bldg 250

Mcconnell Afb, KS 672213505

Telephone 3167596300
Associated Practice Facility / Clinic
🏢 22d Medgrp-Mcconnell Facility NPI 1952716847

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mcconnell Afb, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Mcconnell Afb, KS (638 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 64929

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dental Hygienist

NUCC Taxonomy Code: 124Q00000X

State License CA 25146

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License MN D14112

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Brian Balcolm , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1205110368
NPI 1417847807

Doctor of Pharmacy (Pharm.D.)

Dr. Cory Jacobsen , MD

Preventive Medicine - Aerospace Medicine

NPI 1457930265

Doctor of Medicine (M.D.)

Marilyn Brandt , WHCNP

Nurse Practitioner - Women's Health

NPI 1518944131
Catherine Scheve , PA-C

Physician Assistant

NPI 1588625495

Physician Assistant (Certified)

NPI 1588644165

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 57950 LEAVENWORTH ST BLDG 250, MCCONNELL AFB, KS 672213505 (Tel: 3167596300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2024

Dental Hygienist (License #25146 in CA)

📍
Updated Practice Location August 03, 2021

Registered at 3698 S BRISTOL ST, SANTA ANA, CA 927047302 (Tel: 7149422447)

📍
Updated Business Mailing Address August 03, 2021

Registered at 13631 NIMES CT, CHINO HILLS, CA 917091382 (Tel: 9095482289)

📍
Updated Practice Location October 24, 2018

Registered at 200 1ST ST SW, ROCHESTER, MN 55905 (Tel: 5072842511)

📍
Updated Business Mailing Address October 24, 2018

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

📍
Updated Practice Location April 18, 2018

Registered at 2411 N BROADWAY, LOS ANGELES, CA 900312218 (Tel: 3239872000)

📍
Updated Business Mailing Address April 18, 2018

Registered at 6000 N FIGUEROA ST, LOS ANGELES, CA 900424232 (Tel: 3232545291)

NPI Profile Active August 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2015

Registered at 2680 SATURN AVE STE 220, HUNTINGTON PARK, CA 902554568 (Tel: 3239084200)

📍
Updated Business Mailing Address August 18, 2015

Registered at 13631 NIMES CT, CHINO HILLS, CA 917091382 (Tel: 6267881798)

👤
Provider Name / Credentials Updated August 18, 2015

Recorded as LISA WU, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2015

Dentist (License #64929 in CA)

🟢
Initial NPI Registration & Enumeration August 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700191202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2010
Last Update: June 12, 2024
Sole Proprietor: No

Mailing Address

13631 Nimes Ct

Chino Hills, CA 917091382

Phone: 9095482289

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.