John R Provenzano in Wichita - Oral And Maxillofacial Surgery
John R Provenzano - NPI 1710955430
John R Provenzano is a Oral And Maxillofacial Surgery in Wichita, Kansas. John R Provenzano practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John R Provenzano is 1710955430. The last update date is 2011-10-11.
John R Provenzano's current location address is 1515 S Clifton Ave, Wichita, Kansas. You can contact this provider via phone number 3166813757 and fax number 3166520602. The mailing address for John R Provenzano is 1515 S Clifton Ave, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Provenzano |
|---|---|
| Address | 1515 S Clifton Ave, Wichita, Kansas |
| Phone Number | 3166813757 |
| Fax Number | 3166520602 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1710955430 |
|---|---|
| Provider Enumeration Date | 2006-03-09 |
| Last Updated Date | 2011-10-11 |
Provider Mailing Address Detail
| Address | 1515 S Clifton Ave |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672182900 |
| Phone Number | 3166813757 |
| Fax Number | 3166520602 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 6557 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to John R Provenzano by the Centers for Medicare & Medicaid Services (CMS)?
The John R Provenzano has been assigned the NPI (National Provider Identifier) 1710955430. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John R Provenzano is located?
The John R Provenzano is situated at the following address: 1515 S Clifton Ave, Wichita, KS, 672182900.
What is John R Provenzano's specialized field of practice, and what is the corresponding taxonomy classification code?
The John R Provenzano's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710955430 to John R Provenzano?
The Centers for Medicare & Medicaid Services originally issued the 1710955430 to John R Provenzano on 2006-03-09.
When was the information pertaining to John R Provenzano most recently updated or revised?
The details related to John R Provenzano, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-11.