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WESTPORT DENTAL LLC NPI 1912593591


NPI Information

NPI: 1912593591
Provider Name: WESTPORT DENTAL LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2201 SW WESTPORT DR STE 400
TOPEKA, KS
ZIP 66614
Phone: (785) 228-1280
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WESTPORT DENTAL LLC is a dental clinic center in Topeka, KS. WESTPORT DENTAL LLC NPI is 1912593591. The provider is registered as an organization entity type.

The provider's business location address is:

2201 SW WESTPORT DR STE 400
TOPEKA, KS
ZIP 66614-914
Phone: (785) 228-1280
Fax: (785) 228-1223

The provider's authorized official is Shelly Bahner .
The authorized official title is Office Manager and has the following contact phone number (785) 228-1280.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDentalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11447553169OTHERKANSASNPI TYPE I

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: 4/28/2024

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