DENTAL CORNER PA NPI 1134119779

NPI Information

DENTAL CORNER PA is a general practice dentist in Wichita, KS. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DENTAL CORNER PA NPI is 1134119779. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2046 N OLIVER ST
WICHITA, KS
ZIP 67208-503
Phone: (316) 681-2425
Fax: (316) 681-0947

The provider's authorized official is J Warren Hildreth .
The authorized official title is President and has the following contact phone number (785) 456-7083.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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