Whalio Doctors

NPI 1134505399

Myles Davidson, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Wichita, KS

Practice location

Address
3510 N Ridge Rd STE 500, Wichita, KS 67205
Phone
(316) 722-0800
Fax
(316) 722-5822
Mailing address
3510 N Ridge Rd STE 500, Wichita, KS 67205-1226

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 61536 (KS)
Dentist
Dental Providers Taxonomy 122300000X Licence 6734 (OK)

Registry record

NPI
1134505399
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Aug 2015
Record last updated
12 Nov 2019

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.