Kidspace Pediatric Dentistry Partnership
Dentist, Pediatric Dentistry in Wichita, KS. Organization (NPI-2).
NPI number1407561590
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1407561590
- Entity type
- Organization (NPI-2)
- Legal business name
- Kidspace Pediatric Dentistry Partnership
- Organization subpart
- No
- Enumeration date
- Jan 23, 2023
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | – | – | Yes |
| 1223G0001X | Dentist, General Practice | – | – |
Other names
- Kidspace Pediatric Dentistry Partnership (Doing Business As)
Practice location
430 N Woodlawn StWichita, KS 67208-4300
Phone 316-684-2100
Mailing address
430 N Woodlawn StWichita, KS 67208-4300
Phone 316-684-2100
Authorized official
Julie Le
Practice Administrator
3166842100
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Other Pediatric Dentistry providers in Wichita, KS
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- David James Brown, DDSNPI 1811026115
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- Childrens Dentistry Of WichitaNPI 1295071231
- Crystal Walker, DDS, PANPI 1013193028
- Paul Michael Elkin, DDSNPI 1568504017
- Mariah Leanne Frazier, DDSNPI 1316154081
- Matthew Healy, D.D.S.NPI 1093911513
- Michael Francis Iseman, DDSNPI 1578553285
- Amrita Khemka, DMDNPI 1841794500
All 19 Pediatric Dentistry providers in Wichita · All 13,560 providers in Wichita
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