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

Shayne Perry, DDS

Individual provider Endodontics · NPI 1659652949

Shayne Perry, DDS is an Endodontics in Wichita, Kansas. Licensed in Kansas and Ohio. Registered with an NPI since 2011.

Licensed in
KS, OH
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12219 E Central Ave
Wichita, KS 67206-2808
Phone: (801) 712-3631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 61060 (KS)
Endodontics Taxonomy 1223E0200X · Licence RES. 3083 (OH)

Record details

NPI number1659652949
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 31, 2011
Last updated in NPPESDecember 12, 2022
Certification dateDecember 12, 2022
Mailing address12219 E Central Ave, Wichita, KS 67206-2808

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