# THOMAS D FANKHAUSER DDS PA

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

## Provider details

- **NPI number:** 1619100641
- **Authorized official:** DR. THOMAS D FANKHAUSER DDS (PRESIDENT/DENTIST)
- **Authorized official phone:** (316) 686-7395

## Contact information

- **Practice address:** 8150 E DOUGLAS AVE, SUITE 10, WICHITA, KS 67206-2376
- **Practice address phone:** (316) 686-7395
- **Practice address fax:** (316) 613-2506
- **Mailing address:** 8150 E DOUGLAS AVE, SUITE 10, WICHITA, KS 67206-2362
- **Mailing address phone:** (316) 686-7395
- **Mailing address fax:** (316) 613-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5161 | KS | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009