Individual
DR. BRAD T ORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3455 W 13TH ST N, WICHITA, KS 67203-4500
(316) 943-0247
(316) 941-4194
Mailing address
3455 W 13TH ST N, WICHITA, KS 67203-4500
(316) 943-0247
(316) 941-4194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6992
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116-525
BCBS
—
Enumeration date
10/04/2006
Last updated
09/19/2007
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