Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mid-Kansas Oral & Maxillofacial Surgery, LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1881258366

Mid-Kansas Oral & Maxillofacial Surgery, LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Wichita, Kansas. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3510 N Ridge Rd Ste 500
Wichita, KS 67205-1226
Phone: (316) 722-0800
Fax: (316) 722-5822
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10111 E 21st St N Ste 107, Wichita, KS 67206-3555 — (316) 722-0800

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1881258366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Gagnon — Member · (316) 722-0800
NPI enumeratedApril 30, 2019
Last updated in NPPESNovember 12, 2019
Mailing address3510 N Ridge Rd Ste 500, Wichita, KS 67205-1226

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