Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andre Thibault, DDS, PA

Organization Endodontics · NPI 1013203728

Andre Thibault, DDS, PA is an Endodontics in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2011.

Licensed in
KS
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3900 W Central Ave Ste 100
Wichita, KS 67203-4928
Phone: (316) 616-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 6292 (KS)

Record details

NPI number1013203728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Thibault — Owner · (316) 616-1310
NPI enumeratedJune 21, 2011
Last updated in NPPESJune 21, 2011
Mailing address3900 W Central Ave, Suite 100, Wichita, KS 67203-4928

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