OrganizationActive
Mid-Kansas Oral & Maxillofacial Surgery, LLC
NPI 1881258366 · Oral & Maxillofacial Surgery (D.M.D.) · Wichita, KS
Provider details
- NPI number
- 1881258366
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- John Gagnon, Member
Practice location
3510 N Ridge Rd Ste 500
Wichita, KS 67205-1226
Phone: (316) 722-0800
Fax: (316) 722-5822
Mailing address
3510 N Ridge Rd Ste 500
Wichita, KS 67205-1226
Registry dates
- Enumerated
- 2019-04-30
- 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.