Individual
JAMES KENDALL DILLEHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
1821 NORTH ROCK ROAD, WICHITA, KS 67206
(316) 683-6518
(316) 683-0918
Mailing address
1821 NORTH ROCK ROAD, WICHITA, KS 67206
(316) 683-6518
(316) 683-0918
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5846
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008436
KANSAS BLUE CROSS BLUE SH
KS
Enumeration date
04/23/2007
Last updated
07/08/2007
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