Kidspace Pediatric Dentistry,P.A in Wichita - Pediatric Dentistry

Kidspace Pediatric Dentistry,P.A - NPI 1245370345

Kidspace Pediatric Dentistry,P.A is a Pediatric Dentistry in Wichita, Kansas. Kidspace Pediatric Dentistry,P.A practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kidspace Pediatric Dentistry,P.A is 1245370345. The last update date is 2020-08-22.

Kidspace Pediatric Dentistry,P.A's current location address is 430 N Woodlawn St Ste 1, Wichita, Kansas. You can contact this provider via phone number 3166842100 and fax number 3166842101. The mailing address for Kidspace Pediatric Dentistry,P.A is 430 N Woodlawn St Ste 1, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kidspace Pediatric Dentistry,P.A
Address 430 N Woodlawn St Ste 1, Wichita, Kansas
Phone Number 3166842100
Fax Number 3166842101
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Le S. Julie
Telephone Number 3166842100

NPI Number Detail

NPI Number 1245370345
Provider Enumeration Date 2007-02-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 430 N Woodlawn St Ste 1
City Wichita
State Kansas (KS)
Post Code 672084334
Phone Number 3166842100
Fax Number 3166842101

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 6522
Definition:
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.

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FAQs about Kidspace Pediatric Dentistry,P.A

What is the unique 10-digit identification code issued to Kidspace Pediatric Dentistry,P.A by the Centers for Medicare & Medicaid Services?

The Kidspace Pediatric Dentistry,P.A has been assigned the NPI (National Provider Identifier) 1245370345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Kidspace Pediatric Dentistry,P.A is physically located?

The Kidspace Pediatric Dentistry,P.A is physically situated at the following address: 430 N Woodlawn St Ste 1, Wichita, KS, 672084334.

What is the Kidspace Pediatric Dentistry,P.A's specialty and taxonomy code?

The Kidspace Pediatric Dentistry,P.A's specialty is Pediatric Dentistry, and the corresponding taxonomy code is 1223P0221X.

On what date did the Centers for Medicare & Medicaid Services assign the 1245370345 to Kidspace Pediatric Dentistry,P.A?

The Centers for Medicare & Medicaid Services assigned the 1245370345 to Kidspace Pediatric Dentistry,P.A on 2007-02-07.

When was the information related to Kidspace Pediatric Dentistry,P.A most recently updated or refreshed?

The details pertaining to the Kidspace Pediatric Dentistry,P.A, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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