ESTEL LEE LANDRETH (NPI# 1407995236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407995236 |
| Entity Type | Individual |
| Full Name | ESTEL LEE LANDRETH |
| Credential | DDS |
| Practice Address |
4620 E Douglas Ave Wichita KS 67208-3930 |
| Practice Telephone | 3166859276 |
| Practice Fax Number | 3166852973 |
| Mailing Telephone | 3166859276 |
| Mailing Fax Number | 3166852973 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4539 | KS | Dental Providers |
| Street Address |
4620 E DOUGLAS AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67208-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753917 | Estel L. Landreth, P.a. | Dentist | 4620 E Douglas Ave, Wichita, KS 67208-3930 | 2007-02-06 |
| 1013452408 | Joseph G Baba Dds Pa | Durable Medical Equipment & Medical Supplies | 4620 E Douglas Ave, Ste 102, Wichita, KS 67208-3900 | 2016-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316218 | Wesley Urgent Care, LLC | Clinic/Center | 2060 N. Mid Campus Dr., Wichita, KS 67208 | 2019-09-24 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1164940730 | Donita Hock | Occupational Therapy Assistant | 622 N. Edgemoor St., Wichita, KS 67208 | 2017-09-05 |
| 1427439546 | Mental Health Association of Sck | Community/Behavioral Health | 555 N Woodlawn, S 3105, Wichita, KS 67208 | 2015-06-15 |
| 1013311430 | Adrian Matta | Occupational Therapy Assistant | 1915 Farmstead Street, Wichita, KS 67208 | 2014-10-14 |
| 1700285343 | Stephanie Kendrick | Physical Therapist | 4921 E. 21st Street North, Wichita, KS 67208 | 2014-08-20 |
| 1689087942 | Apeksha Sathyaprasad | Pediatrics | 3243 E Murdock St Ste 402, Wichita, KS 67208 | 2014-06-04 |
| 1437418019 | J. W, Leisy M.d.p.a. | Psychiatry & Neurology | 3310 East Douglas #101, Wichita, KS 67208 | 2012-05-16 |
| 1184993156 | College Hill-ltc LLC | Skilled Nursing Facility | 5005 East 21st Street North, Wichita, KS 67208 | 2011-12-21 |
| 1255616132 | Thane M Vaneaton | Pharmacist | 3333 East Central, Wichita, KS 67208 | 2011-10-11 |
| Find all providers in zip 67208 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417435330 | Joseph P Houlik, Dds, LLC | Dentist | 2759 N Tyler Rd, Wichita, KS 67205-8711 | 2018-08-02 |
| 1982199790 | Ashton N Pargman | Dentist | 8150 E Douglas Ave Ste 10, Wichita, KS 67206-2362 | 2018-06-25 |
| 1801330980 | Smile Connections Family Dental, L.L.C. | Dentist | 250 N Tyler Rd, Wichita, KS 67212-3753 | 2016-12-08 |
| 1295286474 | Davis & Dold Dental, LLC | Dentist | 7570 W 21st St N Ste 1050b, Wichita, KS 67205-1772 | 2016-10-21 |
| 1194173955 | Kati Irene Beam | Dentist | 2222 N Greenwich Rd Ste 400, Wichita, KS 67226-8252 | 2016-06-01 |
| 1942662580 | Eric S. Farmer, Dds, P.a. | Dentist | 7520 W Village Cir, Wichita, KS 67205-9362 | 2016-03-23 |
| 1528424702 | Parklane Dental Pa | Dentist | 980 S Oliver St, Wichita, KS 97218-3216 | 2016-01-04 |
| 1053659508 | Nguyen Dmd Pa | Dentist | 9415 E Harry St Ste 606, Wichita, KS 67207-5082 | 2013-01-17 |
| 1083992655 | Kristyn Leanne Barker | Dentist | 2046 N Oliver Ave, Wichita, KS 67208-2503 | 2011-07-29 |
| 1336427582 | Wichita State University | Dentist | 2838 N. Oliver, Wichita, KS 67220-0157 | 2011-07-21 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.