Dr. Alan Thibault
Endodontist
3900 W Central Ave Ste 100
Wichita
, Kansas 67203-4928
Dr. Alan Thibault
Endodontist
3900 W Central Ave Ste 100
Wichita
, Kansas 67203-4928
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Alan Thibault
- 4316 S Halstead Rd
- Halstead, KS
- Zip : 67056-9288
- Phone :
Second Address
- Dr. Alan Thibault
- 3900 W Central Ave Ste 100
- Wichita, KS
- Zip : 67203-4928
- Phone : (316) 616-1310
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 6292 | KS |
National Provider Identifier
| NPI | 1003894684 |
|---|---|
| Provider Name | Dr. Alan Thibault |
| First Address | Halstead, KS 67056-9288 |
| Second Address | Wichita, KS 67203-4928 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2006 |
| Last Update Date | 13/06/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.