Witchita 21St Dental, Pa

LBN: Witchita 21St Dental, Pa
Witchita 21St Dental, Pa is an health care organization with primary practice located at 10333 E 21St St N , Wichita KS 67206-3543. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Witchita 21St Dental, Pa can be contacted via phone (316) 684-1470, or through Cardon, Creed L via phone (918) 998-0996.

Contact Information

Primary practice address
10333 E 21St St N Wichita KS 67206-3543
Phone: (316) 684-1470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cardon, Creed L
Phone: (918) 998-0996

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1639799307
LBN Legal business name Witchita 21St Dental, Pa
DBA Doing business as
Authorized official Cardon, Creed L
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2020
Last updated May 29th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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