LK Anderson DDS PA

Organization Active NPI Periodontics · Witchita, KS

NPI 1710072921 · NPPES record last updated Jul 24, 2008

Key facts

NPI
1710072921
Entity type
Organization (NPI type 2)
Primary specialty
Periodontics 1223P0300X
License
6045 (KS)
Legal business name
LK ANDERSON DDS PA
Practice address
372 S Hillside
Witchita, KS 67211
Phone
(316) 681-3178
Fax
(316) 681-2441
NPI assigned
Oct 4, 2006
Organization subpart
No

Authorized official

Name
Dr. Lana K Anderson, DDS
Title
Owner
Phone
(316) 681-3178

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

372 S Hillside St
Wichita, KS 67211
Phone (316) 681-3178

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics
Group: 193400000X SINGLE SPECIALTY GROUP
1223P0300X 6045 KS Yes

Addresses

Primary practice location

372 S Hillside
Witchita, KS 67211

Mailing address

372 S Hillside
Wichita, KS 67211
Phone (316) 681-3178

Other providers in Witchita, KS

All providers in Witchita, KS · Periodontics in Kansas

Sources for this page

Verify at the official NPI Registry.