John D Gagnon in Wichita - Oral And Maxillofacial Surgery
John D Gagnon - NPI 1619911641
John D Gagnon is a Oral And Maxillofacial Surgery in Wichita, Kansas. John D Gagnon practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John D Gagnon is 1619911641. The last update date is 2019-11-12.
John D Gagnon's current location address is 3510 N Ridge Rd, Wichita, Kansas. You can contact this provider via phone number 3167220800 and fax number 3167225822. The mailing address for John D Gagnon is 3510 N Ridge Rd, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Gagnon |
|---|---|
| Address | 3510 N Ridge Rd, Wichita, Kansas |
| Phone Number | 3167220800 |
| Fax Number | 3167225822 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619911641 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2019-11-12 |
Provider Mailing Address Detail
| Address | 3510 N Ridge Rd |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672051224 |
| Phone Number | 3167220800 |
| Fax Number | 3167225822 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6850 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116677 | KS | BCBS OF KS | |
| 974027 | UNITED CONCORDIA | ||
| 100317420A | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John D Gagnon by the Centers for Medicare & Medicaid Services?
The John D Gagnon has been assigned the NPI (National Provider Identifier) 1619911641. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where John D Gagnon's facilities are situated?
The facilities of John D Gagnon are physically located at the following address: 3510 N Ridge Rd, Wichita, KS, 672051224.
On what date did the John D Gagnon receive the assignment of its 1619911641 from the Centers for Medicare & Medicaid Services?
The John D Gagnon was issued its 1619911641 by the Centers for Medicare & Medicaid Services on 2006-06-16.
When was the information regarding John D Gagnon most recently updated?
The details pertaining to the John D Gagnon, including its address, specialty, and other relevant information, were last refreshed on 2019-11-12.
As of what date was the information pertaining to John D Gagnon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John D Gagnon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-11-12.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA