# WICHITA FAMILY DENTAL LLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568981231
- **Authorized official:** STEPHANIE OXFORD (CLINIC DIRECTOR)
- **Authorized official phone:** (316) 773-1445

## Contact information

- **Practice address:** 1445 N. RIDGE RD, WICHTIA, KS 67212
- **Practice address phone:** (316) 773-1445
- **Practice address fax:** (316) 721-5557
- **Mailing address:** 1445 N RIDGE RD, WICHITA, KS 67212-2985
- **Mailing address phone:** (316) 773-1445
- **Mailing address fax:** (316) 721-5557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2017
- **Last updated:** 07/21/2022