# SOUTHWIND ORAL AND FACIAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwind Oral and Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093818478
- **Authorized official:** DR. JARED DYE (OWNER)
- **Authorized official phone:** (620) 663-1141

## Contact information

- **Practice address:** 2301 N. WALDRON, HUTCHINSON, KS 67502-1133
- **Practice address phone:** (620) 663-1141
- **Practice address fax:** (620) 663-1373
- **Mailing address:** 2301 N. WALDRON, HUTCHINSON, KS 67502-1133
- **Mailing address phone:** (620) 663-1141
- **Mailing address fax:** (620) 663-1373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6423 | KS | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 12/21/2020