# ORAL SURGERY KANSAS, LC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORAL SURGERY KANSAS, LC
- **Other names:** Emporia Oral Surgery, Ottawa Oral Surgery, Lawrence Oral
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144304643
- **Legal business name:** ORAL SURGERY KANSAS, LC
- **Authorized official:** BRENDAN T. FARRELL DDS (ORAL SURGEON)
- **Authorized official phone:** (785) 843-5490

## Contact information

- **Practice address:** 308 MAINE ST, LAWRENCE, KS 66044
- **Practice address phone:** (785) 843-5490
- **Practice address fax:** (785) 843-5378
- **Mailing address:** 308 MAINE ST, LAWRENCE, KS 66044
- **Mailing address phone:** (785) 843-5490
- **Mailing address fax:** (785) 843-5378

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 60789 | KS | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6112 | KS | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 6641 | KS | Yes |
| 261QS0112X | Oral and Maxillofacial Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 01/18/2013