OrganizationActive
Wakashaw, LLC
NPI 1336550607 · Oral and Maxillofacial Surgery (Dentist) · Lawrence, KS
Provider details
- NPI number
- 1336550607
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Philip Gaus, Owner/Manager(785) 856-6010
- License
- 6706 (KS)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4901 Legends Dr
Lawrence, KS 66049-5800
Phone: (785) 856-6010
Fax: (785) 841-6480
Street-level locationGet directions
Mailing address
4901 Legends Dr
Lawrence, KS 66049-5800
Registry dates
- Enumerated
- 2014-05-08
- Last updated
- 2014-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.