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
| Taxonomy | Code | License |
|---|---|---|
| Endodontics Primary | 1223E0200X | 6292 (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.