NPI 1619911641

John D Gagnon, DDS

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

Practice location

Address: 3510 N Ridge Rd STE 500, Wichita, KS 67205-1224
Phone: (316) 722-0800
Fax: (316) 722-5822

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 6850 (KS)

Other Oral & Maxillofacial Surgery providers in Kansas →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 6850 (KS)

Other Dentist providers in Kansas →

Registry record

NPI: 1619911641
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2006
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.