Lauren Kirsten Wilson, DDS
Individual provider Active NPI General Practice Dentistry · Park City, KS
NPI 1780424432 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1780424432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 62123 (KS)
- Practice address
- 410 E 61St St N
Park City, KS 67219-1906 - Phone
- (316) 744-0001
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62123 | KS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62123 | KS | Yes |
Addresses
Primary practice location
410 E 61St St N
Park City, KS 67219-1906
Mailing address
410 E 61St St N
Park City, KS 67219-1906
Phone (316) 744-0001
Other providers in Park City, KS
- True Life Chiropractic, LLC
- Truespeak LLC
- Kristi D Unruh
- Laura Vo
- Patricia Williams
- Word of Life Ministries and Schools Inc
All providers in Park City, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.