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

Cottonwood Dental Kellogg, PA

Organization Dental Clinic/Center · NPI 1063099943

Cottonwood Dental Kellogg, PA is a Dental Clinic/Center in Wichita, Kansas. Registered with an NPI since 2021.

In the registry since
2021
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

11333 E Kellogg Dr Ste 900
Wichita, KS 67207-1960
Phone: (918) 998-0996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1063099943
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Yates — Cfo · (919) 998-0996
NPI enumeratedMarch 26, 2021
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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