Andre Thibault, Dds, Pa

LBN: Andre Thibault, Dds, Pa
Andre Thibault, Dds, Pa is an health care organization with primary practice located at 3900 W Central Ave Suite 100, Wichita KS 67203-4928. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Andre Thibault, Dds, Pa can be contacted via phone (316) 616-1310, or through Thibault, Andre Alan via phone (316) 616-1310.

Contact Information

Primary practice address
3900 W Central Ave Suite 100 Wichita KS 67203-4928
Fax:
Website:
Authorized official contact:
Name: Thibault, Andre Alan Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 6292 Kansas

Profile Details

NPI number 1013203728
LBN Legal business name Andre Thibault, Dds, Pa
DBA Doing business as
Authorized official Thibault, Andre Alan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 2011 - about 13 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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