WICHITA ENDODONTICS LLC NPI 1568048809

NPI Information

  • NPI: 1568048809
  • Provider Name: WICHITA ENDODONTICS LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 7721 W 21ST ST
    WICHITA, KS
    ZIP 67205
  • Phone: (316) 681-1099

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NPI Details

WICHITA ENDODONTICS LLC is a dental clinic center in Wichita, KS. WICHITA ENDODONTICS LLC NPI is 1568048809. The provider is registered as an organization entity type.

The provider's business location address is:

7721 W 21ST ST
WICHITA, KS
ZIP 67205
Phone: (316) 681-1099
Fax: (316) 613-2417

The provider's authorized official is Jill Cornelison .
The authorized official title is Office Manager and has the following contact phone number (316) 681-1099.

The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/18/2021.

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
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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