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

Wichita Oral Surgery LLC

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1164914982

Wichita Oral Surgery LLC is an Oral and Maxillofacial Surgery Clinic/Center in Wichita, Kansas. Registered with an NPI since 2018.

In the registry since
2018
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

12611 E 21st St N
Wichita, KS 67206-3594
Phone: (316) 742-1506
Fax: (316) 742-1507
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1164914982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelika Roe — Credentialing · (888) 247-1869
NPI enumeratedJune 6, 2018
Last updated in NPPESJune 6, 2018
Mailing address12611 E 21st St N, Wichita, KS 67206-3594

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