NPI 1881258366

Mid-Kansas Oral & Maxillofacial Surgery, LLC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Wichita, KS

Practice location

Address: 3510 N Ridge Rd STE 500, Wichita, KS 67205-1226
Phone: (316) 722-0800
Fax: (316) 722-5822

Authorised official

Name: John D Gagnon
Title: Member
Phone: (316) 722-0800

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

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Registry record

NPI: 1881258366
Entity type: Organization
NPI issued: 30 Apr 2019
Record last updated: 12 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.