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

Wakashaw, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1336550607

Wakashaw, LLC is an Oral and Maxillofacial Surgery (Dentist) in Lawrence, Kansas. Licensed in Kansas. Registered with an NPI since 2014.

Licensed in
KS
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4901 Legends Dr
Lawrence, KS 66049-5800
Phone: (785) 856-6010
Fax: (785) 841-6480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X (KS)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 6706 (KS)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 60952 (KS)

Record details

NPI number1336550607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Gaus — Owner/Manager · (785) 856-6010
NPI enumeratedMay 8, 2014
Last updated in NPPESJuly 17, 2014
Mailing address4901 Legends Dr, Lawrence, KS 66049-5800

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