Wichita Pediatric Dentistry in Wichita - Pediatric Dentistry

Wichita Pediatric Dentistry - NPI 1467507400

Wichita Pediatric Dentistry is a Pediatric Dentistry in Wichita, Kansas. Wichita Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Wichita Pediatric Dentistry is 1467507400. The last update date is 2020-08-22.

Wichita Pediatric Dentistry's current location address is 1230 N Broadmoor Ave, Wichita, Kansas. You can contact this provider via phone number 3616300090 and fax number 3166300099. The mailing address for Wichita Pediatric Dentistry is 1230 N Broadmoor Ave, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wichita Pediatric Dentistry
Address 1230 N Broadmoor Ave, Wichita, Kansas
Phone Number 3616300090
Fax Number 3166300099
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Iseman Michael
Telephone Number 3166300090

NPI Number Detail

NPI Number 1467507400
Provider Enumeration Date 2007-01-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1230 N Broadmoor Ave
City Wichita
State Kansas (KS)
Post Code 672063891
Phone Number 3616300090
Fax Number 3166300099

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 1223PO221X
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 Wichita Pediatric Dentistry

What is the Wichita Pediatric Dentistry's 1467507400?

The Wichita Pediatric Dentistry's NPI (National Provider Identifier) Number is 1467507400. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Wichita Pediatric Dentistry?

The Wichita Pediatric Dentistry is situated at 1230 N Broadmoor Ave, in the city of Wichita, state of KS, with the zip code 672063891.

What is Wichita Pediatric Dentistry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Wichita Pediatric Dentistry's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When did Wichita Pediatric Dentistry receive its 1467507400 assignment?

The Wichita Pediatric Dentistry was assigned its 1467507400 on 2007-01-23, which is the date when this unique identifier was issued to the organization.

When was the information regarding Wichita Pediatric Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wichita Pediatric Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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