TINY TEETH PEDIATRIC DENTISTRY LLC NPI 1679041644

NPI Information

TINY TEETH PEDIATRIC DENTISTRY, LLC 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. TINY TEETH PEDIATRIC DENTISTRY, LLC NPI is 1679041644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3933 N. MAIZE RD
SUITE 200
WICHITA, KS
ZIP 67205-710
Phone: (316) 202-0140
Fax: (316) 202-0141

The provider's authorized official is Matthew Healy .
The authorized official title is Member/manager and has the following contact phone number (913) 220-8907.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

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:

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