DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN R PROVENZANO DDS,PA

Active Organization

JOHN R PROVENZANO DDS,PA is a Oral & Maxillofacial Surgery organization located in WICHITA, Kansas. NPI 1639449259 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · WICHITA, KS

Registration Details

NPI Number
1639449259
Provider Type
Organization
NPI Issued
Jan 12, 2012 (14.626954295723 yrs)
Last Updated
Feb 9, 2012
License
6557 (KS)

Practice Information

Address
1515 S CLIFTON AVE STE 120
WICHITA, KS, 672182951
Browse KS providers · Browse ZIP 67218
Phone
3166813757
Fax
3166520602
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X

Other Oral & Maxillofacial Surgery Organizations in WICHITA, KS

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.