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QUAIL CREST IMAGING, LLC
NPI 1104214816
Dentist - Periodontics in Lawrence, KS

Active since January 05, 2015
4830 QUAIL CREST PL STE B, LAWRENCE, KS 66049(785) 856-0117(785) 856-5082 Get Directions Write a Review

NPPES record last updated: January 5, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quail Crest Imaging, Llc NPPES

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

QUAIL CREST IMAGING, LLC (NPI 1104214816) is a healthcare organization registered as a periodontics in Lawrence, Kansas and active in the NPI registry since January 2015. The organization lists Gretchen Edwards, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104214816
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameQUAIL CREST IMAGING, LLC
Location Address4830 QUAIL CREST PL STE BLawrence, KS 66049-3842
Mailing Address4830 Quail Crest Pl Ste BLawrence, KS 66049-3842 · (785) 856-0117 · Fax (785) 856-5082
Phone(785) 856-0117
Fax(785) 856-5082
Organization SubpartNo
Authorized OfficialGretchen EdwardsOffice Manager · (785) 856-0117
Enumeration DateJanuary 5, 2015
✔ NPI 1104214816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in KS · 6357✔ Licensed in KS · 60071
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 6944 (KS)
Also ListedDental HygienistTaxonomy 124Q00000X · License 1885 (KS)
4830 QUAIL CREST PL STE B, Lawrence, KS 66049
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. KANDACE HOPFINGER DDS, MS
Dentist (Endodontics)
4830 QUAIL CREST PL STE B
LAWRENCE, KS 66049
Douglas County (785) 843-8610
ROBERT F GATTI DDS
Dentist (Endodontics)
4830 QUAIL CREST PL STE B
LAWRENCE, KS 66049
Douglas County (785) 843-8610

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 Quail Crest Imaging, LLC's NPI number?

The NPI number for Quail Crest Imaging, LLC is 1104214816. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Quail Crest Imaging, LLC located?

Quail Crest Imaging, LLC is located at 4830 Quail Crest Pl Ste B, Lawrence, KS 66049. The listed phone number is (785) 856-0117.

What is Quail Crest Imaging, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Quail Crest Imaging, LLC was last updated on January 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.