DR. JUSTIN WAYNE LABART (NPI# 1306056957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306056957 |
Entity Type | Individual |
Full Name | DR. JUSTIN WAYNE LABART |
Credential | D.D.S., M.D. |
Practice Address |
4901 Legends Dr Wakashaw, LLC Dba Wakarusa Oral Surgery Lawrence KS 66049-5800 |
Mailing Address |
11214 N Pennsylvania Ave Kansas City MO 64155-1894 |
Practice Telephone | 7858566010 |
Practice Fax Number | 7858416490 |
Mailing Telephone | 8163528171 |
Enumeration Date | 2007-05-23 |
Last Update Date | 2015-05-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
60952 | KS | Dental Providers |
Street Address |
4901 LEGENDS DR WAKASHAW, LLC DBA WAKARUSA ORAL SURGERY |
City | LAWRENCE |
State | KS |
Zip Code | 66049-5800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427162833 | Philip C Gaus Jr. | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-08-19 |
1871070391 | Jason Edwards Dds, LLC | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2018-07-26 |
1336550607 | Wakashaw, LLC | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2014-05-08 |
1306076971 | Wakarusa Oral Surgery, Lc | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2009-07-17 |
1326116435 | Kelley, Heck P.a. | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-11-30 |
1992894109 | Allen K Kelley | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-10-12 |
1750470936 | Michael P Shaw | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932724481 | Mt Oread Pharmacy LLC | Pharmacy | 6265 Rock Chalk Drive, Lmh Health West, Suite 1401, Lawrence, KS 66049 | 2020-06-10 |
1497382204 | Limestone Eye Care LLC | Optometrist | 4320 W 6th Street, Suite 103, Lawrence, KS 66049 | 2020-03-24 |
1053840405 | Garrett Greaves | Physical Therapist | 100 Rock Chalk Lane, Suite 100, Lawrence, KS 66049 | 2017-06-08 |
1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
1992163273 | Katherine Kershner | Physical Therapy Assistant | 11311 Wakarusa Dr Ste 1000, Lawrence, KS 66049 | 2016-02-02 |
1740670603 | Mary Cabib Tawadros | Family Medicine | 5911 Longleaf Dr., Lawrence, KS 66049 | 2015-01-30 |
1972872943 | Jean Alan Sanders | Pathology | 2820 Tomahawk Drive, Lawrence, KS 66049 | 2011-12-21 |
1881975563 | Vicki Annette Condra-williams | Counselor | 1123 Stone Meadows Drive, Lawrence, KS 66049 | 2011-09-08 |
1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
1164739173 | Laura Elizabeth Reischman | Physical Therapy Assistant | 1305 Wakarusa Drive, Lawrence, KS 66049 | 2010-09-13 |
Find all providers in zip 66049 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | 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. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114106739 | S Kirk Vincent D.d.s., L.c. | Dentist | 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 | 2007-10-31 |
1174653042 | Lori Dawn Cohen | Dentist | 285 Central Ave, Suite F-3, Lawrence, NY 11559-1535 | 2007-03-07 |
1144324278 | Stephen Kirk Vincent | Dentist | 4811 Bob Billings Pkwy, Suite A, Lawrence, KS 66049-3851 | 2006-09-11 |
1134233547 | Joseph M Harvey | Dentist | 308 Maine St, Lawrence, KS 66044 | 2006-08-19 |
1427162833 | Philip C Gaus Jr. | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2006-08-19 |
1457388092 | Scott Paul Barber | Dentist | 4811 Bob Billings Pkwy Ste A, Lawrence, KS 66049-3853 | 2006-06-27 |
1215544184 | Scott Barber, Dds, Pa | Dentist | 4811 Bob Billings Parkway, Suite A, Lawrence, KS 66049 | 2020-09-25 |
1336550607 | Wakashaw, LLC | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2014-05-08 |
1306076971 | Wakarusa Oral Surgery, Lc | Dentist | 4901 Legends Dr, Lawrence, KS 66049-5800 | 2009-07-17 |
1689877284 | Dmitry Y. Tsvetov | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-06-09 |
Find all providers in LAWRENCE |
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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.