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Contact Information

ANDRE THIBAULT, DDS, PA
3900 W CENTRAL AVE
SUITE 100
WICHITA, KS67203-4928
 Phone: 316-616-1310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ANDRE THIBAULT DDS PA · (Female)

NPI Number 1013203728
Status Active
Credentials
Entity Individual
Enumeration date 06/21/2011
Last updated 06/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KS License # 6292
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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