National Provider Identifier Database

WICHITA ORAL SURGERY LLC
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

WICHITA ORAL SURGERY LLC
12611 E 21ST ST N
WICHITA, KS67206-3594
Phone: 316-742-1506
Fax: 316-742-1507
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for WICHITA ORAL SURGERY LLC

NPI Number 1164914982
Legal business name
LBN
WICHITA ORAL SURGERY LLC
Authorized official ANGELIKA ROE - (CREDENTIALING)
Entity Organization
Organization subpart No
Enumeration date 06/06/2018
Last updated 06/06/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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