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ORAL SURGERY KANSAS LC NPI 1144304643


NPI Information

NPI: 1144304643
Provider Name: ORAL SURGERY KANSAS, LC

Doing Business As: EMPORIA ORAL SURGERY, OTTAWA ORAL SURGERY, LAWRENCE ORAL

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
308 MAINE ST
LAWRENCE, KS
ZIP 66044
Phone: (785) 843-5490
Get Directions

ORAL SURGERY KANSAS, LC is an oral and maxillofacial surgery dentist in Lawrence, KS. The provider is an oral and maxillofacial surgery dentist specialized in 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. ORAL SURGERY KANSAS, LC NPI is 1144304643. The provider is registered as an organization entity type.
The provider Is Doing Business As Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral.

The provider's business location address is:

308 MAINE ST
LAWRENCE, KS
ZIP 66044
Phone: (785) 843-5490
Fax: (785) 843-5378

The provider's authorized official is Brendan T. Farrell .
The authorized official title is Oral Surgeon and has the following contact phone number (785) 843-5490.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/18/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial Surgery6112KANSASNo
31223S0112XDentistOral and Maxillofacial Surgery60789KANSASNo
41223S0112XDentistOral and Maxillofacial Surgery6641KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1017272MEDICARE ID-TYPE UNSPECIFIEDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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