| Dr John R Provenzano, DDS | |
|
1515 S Clifton Ave, Suite 120, Wichita, KS 67218-2900 | |
| (316) 681-3757 | |
| (316) 652-0602 |
| Full Name | Dr John R Provenzano |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1515 S Clifton Ave, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710955430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6557 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Provenzano, DDS 1515 S Clifton Ave, Suite 120, Wichita, KS 67218-2900 Ph: (316) 681-3757 | Dr John R Provenzano, DDS 1515 S Clifton Ave, Suite 120, Wichita, KS 67218-2900 Ph: (316) 681-3757 |
Dr. Scott Willis Wiggins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12105 Nantucket St, Wichita, KS 67235 Phone: 316-721-9885 | |
Dr. Alan Thibault, D.D.S., P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3900 W Central Ave, Ste 100, Wichita, KS 67203 Phone: 316-616-1310 | |
Dr. Varsha Jhawer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1729 N Rocky Gln, Wichita, KS 67230 Phone: 603-448-1490 | |
Dr. Mark Alan Huenergardt, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1301 N West St, Wichita, KS 67203 Phone: 316-942-2468 Fax: 316-942-8387 | |
Sadaf Razzak, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9339 E 21st St N, Wichita, KS 67206 Phone: 316-630-9339 | |
Sabina R May, DDS Dentist Medicare: Medicare Enrolled Practice Location: 444 N Ridge Rd, Wichita, KS 67212 Phone: 316-942-5358 Fax: 316-942-7277 | |
Dr. Suman Gorantla, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7015 E Central Ave, Wichita, KS 67206 Phone: 316-684-5184 |