# S. AMIRANI DDS, PA

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

## Provider details

- **NPI number:** 1760496061
- **Authorized official:** DR. SAM S AMIRANI DDS (PRESIDENT/ DENTIST)
- **Authorized official phone:** (316) 686-7155

## Contact information

- **Practice address:** 1431 BLUFFVIEW ST, STE 212, WICHITA, KS 67218-3039
- **Practice address phone:** (316) 686-7155
- **Practice address fax:** (316) 686-4209
- **Mailing address:** 1431 BLUFFVIEW ST, STE 212, WICHITA, KS 67218-3039
- **Mailing address phone:** (316) 686-7155
- **Mailing address fax:** (316) 686-4209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7063 | KS | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 116700 | BLUE CROSS BLUE SHIELD ID | KS |