WAKARUSA ORAL SURGERY, LC
NPI 1306076971
Dentist - Oral and Maxillofacial Surgery in Lawrence, KS

Active since July 17, 2009
4901 LEGENDS DR, LAWRENCE, KS 66049(785) 856-6010 Get Directions Write a Review

NPPES record last updated: July 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wakarusa Oral Surgery, Lc NPPES

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

WAKARUSA ORAL SURGERY, LC (NPI 1306076971) is a healthcare organization registered as an oral and maxillofacial surgery in Lawrence, Kansas and active in the NPI registry since July 2009. The organization lists Philip Charles Gaus, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1306076971
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWAKARUSA ORAL SURGERY, LC
Location Address4901 LEGENDS DRLawrence, KS 66049-5800
Mailing Address4901 Legends DrLawrence, KS 66049-5800 · (785) 856-6010
Organization SubpartNo
Authorized OfficialPhilip Charles GausManager/member · (785) 856-6010
Enumeration DateJuly 17, 2009
NPI 1306076971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in KS · 6706
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4901 LEGENDS DR, Lawrence, KS 66049

Other Identifiers 2

Medicare UPINU17281
Medicaid100224610BKS

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 7

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

Dentist (Oral and Maxillofacial Surgery)
4901 LEGENDS DR, WAKASHAW, LLC DBA WAKARUSA ORAL SURGERY
LAWRENCE, KS 66049
Dentist (General Practice)
4901 LEGENDS DR
LAWRENCE, KS 66049
Dentist (Oral and Maxillofacial Surgery)
4901 LEGENDS DR
LAWRENCE, KS 66049
Dentist (Oral and Maxillofacial Surgery)
4901 LEGENDS DR
LAWRENCE, KS 66049
Dentist (General Practice)
4901 LEGENDS DR
LAWRENCE, KS 66049
Dentist (General Practice)
4901 LEGENDS DR
LAWRENCE, KS 66049
Dentist (General Practice)
4901 LEGENDS DR
LAWRENCE, KS 66049

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 Wakarusa Oral Surgery, Lc's NPI number?

The NPI number for Wakarusa Oral Surgery, Lc is 1306076971. It was assigned to this organization in the NPPES registry on July 17, 2009.

Where is Wakarusa Oral Surgery, Lc located?

Wakarusa Oral Surgery, Lc is located at 4901 Legends Dr, Lawrence, KS 66049. The listed phone number is (785) 856-6010.

What is Wakarusa Oral Surgery, Lc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Wakarusa Oral Surgery, Lc was last updated on July 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.