Healthcare Provider Details

I. General information

NPI: 1841107976
Provider Name (Legal Business Name): NIKOL FLYNN, DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11940 W CENTRAL AVE STE 100
WICHITA KS
67212-5180
US

IV. Provider business mailing address

11940 W CENTRAL AVE STE 100
WICHITA KS
67212-5180
US

V. Phone/Fax

Practice location:
  • Phone: 316-531-8232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: NIKOL FLYNN
Title or Position: OWNER
Credential: DDS
Phone: 816-352-3539