Search › Kansas › 1223S0112X
Matthew Robertson, DMD
NPI 1750343802 · on the registry since 2006 · sole proprietor
Practice
- Address
- 12611 E 21st St N
Wichita, KS 67206 - Phone
- (316) 742-1506
- Organisation at this address
- Wichita Oral Surgery Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 201 N Georgie Ave, Derby, KS
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223S0112X
- Licence states on file
- TX, KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas