Provider Demographics
NPI:1225556020
Name:KANSAS ENDODONTICS,LLC
Entity Type:Organization
Organization Name:KANSAS ENDODONTICS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-843-8610
Mailing Address - Street 1:4830 QUAIL CREST PL STE B
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3842
Mailing Address - Country:US
Mailing Address - Phone:785-843-8610
Mailing Address - Fax:785-843-8611
Practice Address - Street 1:6231 SW 29TH ST STE 300
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4684
Practice Address - Country:US
Practice Address - Phone:785-215-8414
Practice Address - Fax:785-215-8454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-01
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty