# PERRY ENDODONTICS LLC

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

## Provider details

- **NPI number:** 1568890515
- **Authorized official:** DR. SHAYNE PERRY D.D.S. (OWNER)
- **Authorized official phone:** (801) 712-3631

## Contact information

- **Practice address:** 215 S HILLSIDE ST, WICHITA, KS 67211-2128
- **Practice address phone:** (316) 681-3479
- **Mailing address:** 215 S HILLSIDE ST, WICHITA, KS 67211-2128
- **Mailing address phone:** (316) 681-3479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 61060 | KS | Yes |

## Other

- **Enumeration date:** 10/29/2013
- **Last updated:** 10/29/2013