Kidspace Pediatric Dentistry Partnership
LBN: Kidspace Pediatric Dentistry Partnership
Kidspace Pediatric Dentistry Partnership is an health care organization with primary practice located at 430 N Woodlawn St , Wichita KS 67208-4300. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Kidspace Pediatric Dentistry Partnership can be contacted via phone (316) 684-2100, or through Le, Julie via phone (316) 684-2100.
Contact Information
Primary practice address
430 N Woodlawn St
Wichita KS 67208-4300
Phone: (316) 684-2100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X |
Profile Details
| NPI number | 1407561590 |
|---|---|
| LBN Legal business name | Kidspace Pediatric Dentistry Partnership |
| DBA Doing business as | |
| Authorized official | Le, Julie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 23rd, 2023 |
| Last updated | Jan 23rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407561590 | NPPES |
| Kansas | MEDICAID | 30004579430004 | |
| Kansas | MEDICAID | 30004593990002 | |
| Kansas | MEDICAID | 30004575080002 |
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