JOHN R PROVENZANO DDS,PA is an oral and maxillofacial surgery dentist in Wichita, KS. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. JOHN R PROVENZANO DDS,PA NPI is 1639449259. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1515 S CLIFTON AVE STE 120
WICHITA, KS
ZIP 67218-951
Phone: (316) 681-3757
Fax: (316) 652-0602
The provider's authorized official is John R Provenzano .
The authorized official title is Owner and has the following contact phone number (316) 681-3757.
The enumeration date for this NPI number is 1/12/2012 and was last updated on 2/9/2012.