Organization
WESTPORT DENTAL LLC
Active
Other names
Westport Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY BAHNER (OFFICE MANAGER)
(785) 228-1280
Entity
Organization
Contact information
Practice address
2201 SW WESTPORT DR STE 400, TOPEKA, KS 66614-1914
(785) 228-1280
(785) 228-1223
Mailing address
2201 SW WESTPORT DR STE 400, TOPEKA, KS 66614-1914
(785) 228-1280
(785) 228-1223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447553169
NPI TYPE I
KS
Enumeration date
12/17/2020
Last updated
12/17/2020
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