DR. JERAD DIVINE, D.D.S.
Dentist - Endodontics
Active
Individual
NPI: 1841587250
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | No | 2011014424 (MO) |
| Dentist - Endodontics | 1223E0200X | Yes | 61283 (KS) |
Frequently Asked Questions
NPI 1841587250 is the National Provider Identifier for DR. JERAD DIVINE, D.D.S., a Dentist - Endodontics provider located in Wichita, KS. This NPI was enumerated on July 6, 2011.
DR. JERAD DIVINE, D.D.S. practices at 12219 E CENTRAL AVE, Wichita, KS 67206.
Quick Facts
- NPI
- 1841587250
- Type
- Individual
- Enumerated
- Jul 6, 2011
- Last Updated
- Dec 12, 2022
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