# WICHITA ENDODONTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WICHITA ENDODONTICS LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326564188
- **Legal business name:** WICHITA ENDODONTICS LLC
- **Authorized official:** DR. CRAIG FRANK HOFFMANN DDS (OWNER/PROVIDER)
- **Authorized official phone:** (316) 681-1099

## Contact information

- **Practice address:** 12219 E CENTRAL AVE, WICHITA, KS 67206-2808
- **Practice address phone:** (316) 681-1099
- **Practice address fax:** (316) 613-2417
- **Mailing address:** 12219 E CENTRAL AVE, WICHITA, KS 67206-2808
- **Mailing address phone:** (316) 681-1099
- **Mailing address fax:** (316) 613-2417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 60398 | KS | Yes |
| 1223E0200X | Endodontics | 6545 | KS | — |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 08/04/2021