Provider Demographics
NPI:1376343848
Name:CODY WELDING D.D.S. P.A.
Entity type:Organization
Organization Name:CODY WELDING D.D.S. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CODY
Authorized Official - Middle Name:R
Authorized Official - Last Name:WELDING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-705-4295
Mailing Address - Street 1:4121 W 83RD ST STE 245
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5319
Mailing Address - Country:US
Mailing Address - Phone:913-648-6694
Mailing Address - Fax:
Practice Address - Street 1:4121 W 83RD ST STE 245
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5319
Practice Address - Country:US
Practice Address - Phone:913-648-6694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty