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

Witchita 21st Dental, PA

Organization General Practice Dentistry · NPI 1639799307

Witchita 21st Dental, PA is a General Practice Dentistry in Wichita, Kansas. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

10333 E 21st St N
Wichita, KS 67206-3543
Phone: (316) 684-1470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1639799307
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Creed Cardon — Dds · (918) 998-0996
NPI enumeratedApril 22, 2020
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address400 Riverwalk Ter Ste 250, Jenks, OK 74037-5619

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