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ANDRE THIBAULT, DDS, PA
NPI 1013203728
Dentist - Endodontics in Wichita, KS

Active since June 21, 2011
3900 W CENTRAL AVE, SUITE 100, WICHITA, KS 67203(316) 616-1310 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andre Thibault, Dds, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE THIBAULT, DDS, PA (NPI 1013203728) is a healthcare organization registered as an endodontics in Wichita, Kansas and active in the NPI registry since June 2011. The organization lists Andre Alan Thibault, Owner, as its authorized official.

NPPES Registry Identity

NPI1013203728
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameANDRE THIBAULT, DDS, PA
Location Address3900 W CENTRAL AVE, SUITE 100Wichita, KS 67203-4928
Mailing Address3900 W Central Ave, Suite 100Wichita, KS 67203-4928 · (316) 616-1310
Phone(316) 616-1310
Organization SubpartNo
Authorized OfficialAndre Alan ThibaultOwner · (316) 616-1310
Enumeration DateJune 21, 2011
✔ NPI 1013203728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in KS · 6292
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
3900 W CENTRAL AVE, Wichita, KS 67203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN THIBAULT D.D.S., P.A.
Dentist (Endodontics)
3900 W CENTRAL AVE, STE 100
WICHITA, KS 67203
Sedgwick County (316) 616-1310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Thibault, Dds, PA's NPI number?

The NPI number for Andre Thibault, Dds, PA is 1013203728. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Andre Thibault, Dds, PA located?

Andre Thibault, Dds, PA is located at 3900 W Central Ave Suite 100, Wichita, KS 67203. The listed phone number is (316) 616-1310.

What is Andre Thibault, Dds, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Andre Thibault, Dds, PA was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.