# CRAIG B LASHLEY DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CRAIG B LASHLEY DDS PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194921502
- **Legal business name:** CRAIG B LASHLEY DDS PA
- **Authorized official:** CRAIG B LASHLEY DDS, PA (OWNER/DENTIST)
- **Authorized official phone:** (316) 773-1177

## Contact information

- **Practice address:** 2105 N. RIDGE RD, WICHITA, KS 67212-1417
- **Practice address phone:** (316) 773-1177
- **Practice address fax:** (316) 773-2693
- **Mailing address:** 2105 N. RIDGE RD., WICHITA, KS 67212-1417
- **Mailing address phone:** (316) 773-1177
- **Mailing address fax:** (316) 773-2693

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7127 | KS | Yes |
| 305R00000X | Preferred Provider Organization | 7127 | KS | — |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 07/15/2008