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WICHITA FAMILY DENTAL PARTNERSHIP NPI 1346597069


NPI Information

NPI: 1346597069
Provider Name: WICHITA FAMILY DENTAL PARTNERSHIP

Doing Business As: WICHITA FAMILY DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 17D2170044

Address:
9339 E 21ST ST N
SUITE 200
WICHITA, KS
ZIP 67206
Phone: (316) 630-9339
Get Directions

WICHITA FAMILY DENTAL PARTNERSHIP 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. WICHITA FAMILY DENTAL PARTNERSHIP NPI is 1346597069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wichita Family Dental.

The provider's business location address is:

9339 E 21ST ST N
SUITE 200
WICHITA, KS
ZIP 67206-971
Phone: (316) 630-9339
Fax: (316) 630-9353

The provider's authorized official is Charles H Pierson .
The authorized official title is Dentist and has the following contact phone number (316) 630-9339.

The CLIA number assigned to this NPI record is 17D2170044 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2012 and was last updated on 8/13/2012.


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
11223G0001XDentistGeneral Practice5979KANSASYes

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: 11/14/2023

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