MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC; NPI #1881258366

Contact Information

MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC

3510 N RIDGE RD STE 500
WICHITA, KS 67205-1226

Phone: 316-722-0800
Fax: 316-722-5822
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC

NPI Number	`1881258366`
LBN Legal business name	MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC
Authorized official	JOHN GAGNON - (MEMBER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/30/2019
Last updated	11/12/2019 - About 7 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC

Reviews for MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC