Andre Thibault, DDS, PA
Andre Thibault, DDS, PA is a healthcare organization registered as Endodontics in Wichita, KS, holding Type 2 (organization) NPI 1013203728 since 2011. The authorized official on file is Andre Thibault, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013203728 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Andre Thibault, DDS, PA |
| Practice address | 3900 W CENTRAL AVE, SUITE 100, Wichita, KS, 67203 |
| Phone | 3166161310 |
| Enumeration date | 2011-06-21 |
| Last updated in NPPES | 2011-06-21 |
Authorized official
| Name | Andre Thibault |
|---|---|
| Title | Owner |
| Phone | 3166161310 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223E0200X | Endodontics | Primary | 6292 | KS |
Copy-ready billing details
Provider: Andre Thibault, DDS, PA NPI: 1013203728 Taxonomy: 1223E0200X (Endodontics) Address: 3900 W CENTRAL AVE, SUITE 100, Wichita, KS, 67203
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003894684 | Alan Thibault | Individual | Endodontics | Wichita, KS |
Verify this record
Cross-check NPI 1013203728 against the authoritative CMS record: view Andre Thibault, DDS, PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Andre Thibault, DDS, PA located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-06-21.