# SENECA FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SENECA FAMILY DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699228379
- **Legal business name:** SENECA FAMILY DENTISTRY
- **Authorized official:** MAXWELL EUGENE WHITE DDS (DENTIST)
- **Authorized official phone:** (316) 522-4759

## Contact information

- **Practice address:** 2860 S SENECA ST, WICHITA, KS 67217-2865
- **Practice address phone:** (316) 522-4759
- **Practice address fax:** (316) 522-3250
- **Mailing address:** 2860 S SENECA ST, SUITE C, WICHITA, KS 67217-2865
- **Mailing address phone:** (316) 522-4759
- **Mailing address fax:** (316) 522-3250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 60967 | KS | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 07/28/2016