WICHITA PEDIATRIC DENTISTRY NPI 1467507400

NPI Information

WICHITA PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Wichita, KS. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WICHITA PEDIATRIC DENTISTRY NPI is 1467507400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1230 N BROADMOOR AVE
#400
WICHITA, KS
ZIP 67206-891
Phone: (361) 630-0090
Fax: (316) 630-0099

The provider's authorized official is Michael Iseman .
The authorized official title is Doctor and has the following contact phone number (316) 630-0090.

The enumeration date for this NPI number is 1/23/2007 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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.