Provider Demographics
NPI:1295358331
Name:WELDING, CODY RYAN (DDS)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:RYAN
Last Name:WELDING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4121 W 83RD ST STE 245
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-5319
Mailing Address - Country:US
Mailing Address - Phone:913-648-6694
Mailing Address - Fax:913-648-6697
Practice Address - Street 1:4121 W 83RD ST STE 245
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-5319
Practice Address - Country:US
Practice Address - Phone:913-648-6694
Practice Address - Fax:913-648-6697
Is Sole Proprietor?:No
Enumeration Date:2020-05-23
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS61790122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist