# DENTAL WELLNESS OF KANSAS LLC

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

## Provider details

- **NPI number:** 1396112009
- **Authorized official:** DR. KREG WILLIAM BOYNTON DDS (DENTIST/OWNER)
- **Authorized official phone:** (316) 685-8881

## Contact information

- **Practice address:** 1901 N WEBB RD, SUITE A, WICHITA, KS 67206-3415
- **Practice address phone:** (316) 685-8881
- **Mailing address:** 1901 N WEBB RD, SUITE A, WICHITA, KS 67206-3415
- **Mailing address phone:** (316) 685-8881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7208 | KS | Yes |

## Other

- **Enumeration date:** 08/28/2015
- **Last updated:** 08/28/2015
