OrganizationActive
Wichita Oral Surgery LLC
NPI 1164914982 · Oral and Maxillofacial Surgery Clinic/Center · Wichita, KS
Provider details
- NPI number
- 1164914982
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angelika Roe, Credentialing(888) 247-1869
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12611 E 21st St N
Wichita, KS 67206-3594
Phone: (316) 742-1506
Fax: (316) 742-1507
Approximate (ZIP-level) locationGet directions
Mailing address
12611 E 21st St N
Wichita, KS 67206-3594
Registry dates
- Enumerated
- 2018-06-06
- Last updated
- 2018-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.