PARKLANE DENTAL PA NPI 1528424702

NPI Information

NPI: 1528424702
Provider Name: PARKLANE DENTAL PA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: ADVENTURE DENTAL AND VISION
Address: 980 S OLIVER ST
WICHITA, KS
ZIP 97218
Phone: (316) 221-3008

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NPI Details

PARKLANE DENTAL 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. PARKLANE DENTAL PA NPI is 1528424702. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Adventure Dental And Vision.

The provider's business location address is:

980 S OLIVER ST
WICHITA, KS
ZIP 97218-216
Phone: (316) 221-3008
Fax: (316) 221-3015

The provider's authorized official is Shaun Urbanozo .
The authorized official title is Credentialing Manager and has the following contact phone number (719) 323-2362.

The enumeration date for this NPI number is 1/4/2016 and was last updated on 10/22/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	61154	KANSAS	No
2	1223G0001X	Dentist	General Practice		KANSAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61154	OTHER	KANSAS	KANSAS DENTAL BOARD LICENSE NUMBER

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: 3/30/2025

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