WICHITA ORAL SURGERY LLC; NPI #1164914982

Contact Information

WICHITA ORAL SURGERY LLC

12611 E 21ST ST N
WICHITA, KS 67206-3594

Phone: 316-742-1506
Fax: 316-742-1507
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for WICHITA ORAL SURGERY LLC

NPI Number	`1164914982`
LBN Legal business name	WICHITA ORAL SURGERY LLC
Authorized official	ANGELIKA ROE - (CREDENTIALING)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/06/2018
Last updated	06/06/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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