Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN R PROVENZANO, DDS
ActiveDR. JOHN R PROVENZANO, DDS is a Oral & Maxillofacial Surgery healthcare provider located in WICHITA, Kansas. NPI 1710955430 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · WICHITA, KS
Registration Details
- NPI Number
- 1710955430
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2006 (20.394178260349 yrs)
- Last Updated
- Oct 11, 2011
- License
-
6557 (KS)
Practice Information
- Address
-
1515 S CLIFTON AVESUITE 120WICHITA, KS, 672182900Browse KS providers · Browse ZIP 67218
- Phone
- 3166813757
- Fax
- 3166520602
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Other Oral & Maxillofacial Surgery Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW ERIC ROBERTSON | DMD | 1750343802 |
| DR. ROY E COLE | M.D.,D.D.S. | 1427079979 |
| DR. REMY H BLANCHAERT JR. | D.D.S.,M.D. | 1578587036 |
| DR. KENNETH W. NELSON | D.D.S. | 1538183900 |
| DR. JAMES M ALLEY III | D.D.S. | 1497834246 |
| DR. JAMES PRESTON BRAMMER | D.D.S. | 1932288727 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.