| John D. Gagnon Dds Pa | |
|
3510 N Ridge Rd Suite 500 Wichita KS 67205-1224 | |
| (316) 722-0800 | |
| (316) 722-5822 |
| Full Name | John D. Gagnon Dds Pa |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3510 N Ridge Rd, Wichita, Kansas |
| Authorized Official Name and Position | John D Gagnon (OWNER) |
| Authorized Official Contact | 3167220800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John D. Gagnon Dds Pa 3510 N Ridge Rd Suite 500 Wichita KS 67205-1224 Ph: (316) 722-0800 | John D. Gagnon Dds Pa 3510 N Ridge Rd Suite 500 Wichita KS 67205-1224 Ph: (316) 722-0800 |
| NPI Number | 1609938976 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 02/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609938976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6850 (Kansas) | Primary |
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