Organization · Type 2 NPI

John D. Gagnon DDS PA

Oral and Maxillofacial Surgery (Dentist) · Wichita, KS

NPI number 1609938976 Active

Practice location

3510 N Ridge Rd, Suite 500
Wichita, KS 67205-1224

Fax (316) 722-5822

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X6850 (KS)

Oral and Maxillofacial Surgery (Dentist): 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.

6 other providers at this address

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About NPI 1609938976

John D. Gagnon DDS PA's National Provider Identifier is 1609938976, issued on Dec 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Wichita, KS. The record was last updated on Feb 17, 2010.