NPI 1003894684
Alan Thibault, DDSPA
Practice location
- Address
- 3900 W Central Ave STE 100, Wichita, KS 67203-4928
- Phone
- (316) 616-1310
- Mailing address
- 4316 S Halstead Rd, Halstead, KS 67056-9288
Registered specialties
Endodontics
Primary
Registry record
- NPI
- 1003894684
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Jan 2006
- Record last updated
- 13 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.