Individual
DR. LAWRENCE HUEBERT DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 E CENTRAL AVE, WICHITA, KS 67214-4814
(316) 685-9791
(316) 685-6319
Mailing address
3001 E CENTRAL AVE, WICHITA, KS 67214-4814
(316) 685-9791
(316) 685-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
014207
MO
1223G0001X
General Practice Dentistry
Primary
5808
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019212
BLUE CROSS BLUE SHIELD
KS
05
—
100222490B
—
KS
Enumeration date
09/26/2006
Last updated
07/08/2007
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