# WICHITA DENTAL GROUP PA

> 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
- **Other names:** Lewis & Mills DDS PA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528310331
- **Authorized official:** DR. JOHN M LEWIS DDS (PRESIDENT)
- **Authorized official phone:** (316) 265-0849

## Contact information

- **Practice address:** 301 N MAIN ST, SUITE 1420, WICHITA, KS 67202-4800
- **Practice address phone:** (316) 265-0849
- **Practice address fax:** (316) 265-6307
- **Mailing address:** 301 N MAIN ST, SUITE 1420, WICHITA, KS 67202-4800
- **Mailing address phone:** (316) 265-0849
- **Mailing address fax:** (316) 265-6307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6445 | KS | Yes |

## Other

- **Enumeration date:** 10/04/2012
- **Last updated:** 10/04/2012