# FIRST AVENUE DENTAL, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FIRST AVENUE DENTAL, P.A.
- **Other names:** First Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275199168
- **Legal business name:** FIRST AVENUE DENTAL, P.A.
- **Authorized official:** RYAN LEHMKUHLER DDS (PRESIDENT)
- **Authorized official phone:** (620) 371-6630

## Contact information

- **Practice address:** 23 E 11TH ST, LIBERAL, KS 67901-2720
- **Practice address phone:** (620) 604-9279
- **Practice address fax:** (620) 417-9616
- **Mailing address:** 23 E 11TH ST, LIBERAL, KS 67901-2720
- **Mailing address phone:** (620) 604-9279
- **Mailing address fax:** (620) 417-9616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2019
- **Last updated:** 08/19/2021