WICHITA PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Wichita, KS. The provider is 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. WICHITA PEDIATRIC DENTISTRY NPI is 1467507400. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1230 N BROADMOOR AVE #400 WICHITA, KS ZIP 67206-891 Phone: (361) 630-0090 Fax: (316) 630-0099
The provider's authorized official is Michael Iseman . The authorized official title is Doctor and has the following contact phone number (316) 630-0090.
The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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