# HEARTLAND DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295164028
- **Authorized official:** KANDI IRVING (OFFICE MANAGER)
- **Authorized official phone:** (316) 832-0186

## Contact information

- **Practice address:** 3722 N ARKANSAS AVE, WICHITA, KS 67204-4053
- **Practice address phone:** (316) 832-0186
- **Mailing address:** 3722 N ARKANSAS AVE, WICHITA, KS 67204-4053
- **Mailing address phone:** (316) 832-0186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 60555 | KS | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013