Organization · Type 2 NPI

Andre Thibault, Dds, PA

Endodontics · Wichita, KS

NPI number 1013203728 Active

Practice location

3900 W Central Ave, Suite 100
Wichita, KS 67203-4928

Specialties and licenses

TaxonomyCodeLicense
Endodontics Primary 1223E0200X6292 (KS)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1013203728

Andre Thibault, Dds, PA's National Provider Identifier is 1013203728, issued on Jun 21, 2011. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Wichita, KS. The record was last updated on Jun 21, 2011.