KIDSPACE PEDIATRIC DENTISTRY,P.A


Address: 430 N Woodlawn St Ste 1, Wichita, KS 67208-4334
Phone: 3166842100

KIDSPACE PEDIATRIC DENTISTRY,P.A (NPI# 1245370345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245370345
Entity Type Organization
Organization Name KIDSPACE PEDIATRIC DENTISTRY,P.A
Practice Address 430 N Woodlawn St Ste 1
Wichita
KS 67208-4334
Practice Telephone 3166842100
Practice Fax Number 3166842101
Mailing Telephone 3166842100
Mailing Fax Number 3166842101
Enumeration Date 2007-02-07
Last Update Date 2020-08-22
Authorized Official Name MRS. JULIE S. LE (OFFICE MANAGER)
Authorized Official Telephone 3166842100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
6522 KS Dental Providers

Office Location

Street Address 430 N WOODLAWN ST STE 1
City WICHITA
State KS
Zip Code 67208-4334

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528441375 Lisa Le Dentist 430 N Woodlawn St Ste 1, Wichita, KS 67208-4340 2015-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598316218 Wesley Urgent Care, LLC Clinic/Center 2060 N. Mid Campus Dr., Wichita, KS 67208 2019-09-24
1023574209 Unified Care Homes, Inc. Custodial Care Facility 5705 E Rockhill, Wichita, KS 67208 2019-02-13
1164940730 Donita Hock Occupational Therapy Assistant 622 N. Edgemoor St., Wichita, KS 67208 2017-09-05
1427439546 Mental Health Association of Sck Community/Behavioral Health 555 N Woodlawn, S 3105, Wichita, KS 67208 2015-06-15
1013311430 Adrian Matta Occupational Therapy Assistant 1915 Farmstead Street, Wichita, KS 67208 2014-10-14
1700285343 Stephanie Kendrick Physical Therapist 4921 E. 21st Street North, Wichita, KS 67208 2014-08-20
1689087942 Apeksha Sathyaprasad Pediatrics 3243 E Murdock St Ste 402, Wichita, KS 67208 2014-06-04
1437418019 J. W, Leisy M.d.p.a. Psychiatry & Neurology 3310 East Douglas #101, Wichita, KS 67208 2012-05-16
1184993156 College Hill-ltc LLC Skilled Nursing Facility 5005 East 21st Street North, Wichita, KS 67208 2011-12-21
1255616132 Thane M Vaneaton Pharmacist 3333 East Central, Wichita, KS 67208 2011-10-11
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093911513 Matthew Healy Dentist 3933 N. Maize Rd, Ml 2006, Wichita, KS 67205-3039 2007-06-22
1619983681 Crystal Rachelle Walker Dentist 6943 W 37th St N, Wichita, KS 67205-9302 2006-07-31
1205891355 Hoanh Ba Le Dentist 430 N Woodlawn St, Wichita, KS 67208-4300 2006-04-20
1376519439 Stephen Phillip Moore Dentist 356 N Rock Rd, Wichita, KS 67206-2200 2006-02-27
1578553285 Michael Francis Iseman Dentist 1230 N Broadmoor Ave, Suite 400, Wichita, KS 67206-3891 2005-10-24
1679041644 Tiny Teeth Pediatric Dentistry, LLC Dentist 3933 N. Maize Rd, Suite 200, Wichita, KS 67205-6710 2018-11-08
1295071231 Childrens Dentistry of Wichita Dentist 2143 N Collective Ln, Suite B, Wichita, KS 67206-3504 2012-12-19
1811266042 Children's Dental Professionals Dentist 6943 W 37th St N, Wichita, KS 67205-9302 2011-12-16
1013193028 Crystal Walker, Dds, Pa Dentist 6943 W 37th St N, Wichita, KS 67205-9302 2008-01-21
1811026115 David James Brown II Dentist 356 N Rock Rd, Wichita, KS 67206-2200 2007-03-04
Find all providers in WICHITA

Competitor

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City WICHITA
Zip Code 67208

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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