Healthcare Provider Details

I. General information

NPI: 1194049940
Provider Name (Legal Business Name): TOPEKA ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2010
Last Update Date: 03/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6231 SW 29TH ST STE 300
TOPEKA KS
66614-4684
US

IV. Provider business mailing address

6231 SW 29TH ST STE 300
TOPEKA KS
66614-4684
US

V. Phone/Fax

Practice location:
  • Phone: 785-215-8441
  • Fax:
Mailing address:
  • Phone: 785-215-8441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. KRISTY LIND MARKER
Title or Position: PRESIDENT
Credential: DDS, MS
Phone: 785-215-8441