Healthcare Provider Details

I. General information

NPI: 1699113092
Provider Name (Legal Business Name): W R WAULIGMAN DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 12/13/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SOUTH ROAD
ADDYSTON OH
45001
US

IV. Provider business mailing address

PO BOX 489
ADDYSTON OH
45001-0489
US

V. Phone/Fax

Practice location:
  • Phone: 513-662-4242
  • Fax: 513-662-0046
Mailing address:
  • Phone: 513-662-4242
  • Fax: 513-662-0046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. WHITNEY R WAULIGMAN
Title or Position: VICE PRESIDENT / OWNER
Credential: DDS
Phone: 513-662-4242