Sweet Tooth Shawnee Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SWEET TOOTH SHAWNEE ORTHODONTICS, LLC

Practice address

15935 W 65TH St
Shawnee, KS 66217-9342

Phone

(913) 239-0703

NPI assigned

Mar 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wayne Robert Dobbins, DDS

Title

Ceo

Phone

(480) 343-5072

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1215512801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15935 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-239-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15935 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179342",
            "telephone_number": "913-239-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH SHAWNEE ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "DOBBINS",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-343-5072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles B Swain, D.D.S.
• McKenzie Swan, DDS
• Robert B Swatek, PA
• Robin Swayne, CPHT
• Sweet Sleep Studio, LLC
• Sweet Tooth Shawnee, LLC
• Swickard Chiropractic Clinic of Shawnee, P.a.
• Mark Andrew Swickard, D.C.
• Rachel Swift
• Elizabeth Sykes, CREDENTIALING

• Orthodontics and Dentofacial Orthopedics Dentistry in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.