IndividualActive
John Gagnon, DDS
NPI 1619911641 · Oral & Maxillofacial Surgery (D.M.D.) · Wichita, KS
Provider details
- NPI number
- 1619911641
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6850 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Practice location
3510 N Ridge Rd
Ste 500
Wichita, KS 67205-1224
Phone: (316) 722-0800
Fax: (316) 722-5822
Approximate (ZIP-level) locationGet directions
Mailing address
3510 N Ridge Rd
Wichita, KS 67205-1224
Additional practice locations (1)
- 10111 E 21st St NWichita, KS 67206-3508Phone: (316) 722-0800
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2019-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.