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MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC
NPI 1881258366
Oral & Maxillofacial Surgery in Wichita, KS

Active since April 30, 2019
3510 N RIDGE RD STE 500, WICHITA, KS 67205(316) 722-0800(316) 722-5822 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2019, Apr 30, 2019 (2 updates tracked since 2019).

About Mid-kansas Oral & Maxillofacial Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC (NPI 1881258366) is a healthcare organization registered as an oral & maxillofacial surgery in Wichita, Kansas and active in the NPI registry since April 2019. The organization maintains a secondary practice location in Wichita and lists John D Gagnon, Member, as its authorized official.

NPPES Registry Identity

NPI1881258366
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMID-KANSAS ORAL & MAXILLOFACIAL SURGERY, LLC
Location Address3510 N RIDGE RD STE 500Wichita, KS 67205-1226
Mailing Address3510 N Ridge Rd Ste 500Wichita, KS 67205-1226 · (316) 722-0800
Phone(316) 722-0800
Fax(316) 722-5822
Organization SubpartNo
Authorized OfficialJohn D GagnonMember · (316) 722-0800
Enumeration DateApril 30, 2019
Last NPPES UpdateNovember 12, 20192 updates tracked since enumeration
✔ NPI 1881258366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

3510 N RIDGE RD STE 500, Wichita, KS 67205
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Secondary Practice Location 1

Location 110111 E 21st St N Ste 107Wichita, KS 67206-3555 · Phone (316) 722-0800

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MYLES DAVIDSON DDS
Oral & Maxillofacial Surgery
3510 N RIDGE RD STE 500
WICHITA, KS 67205
Sedgwick County (316) 722-0800
JOSEPH R TINGEY, DDS, PA
Dentist (Oral and Maxillofacial Surgery)
3510 N RIDGE RD STE 500
WICHITA, KS 67205
Sedgwick County (316) 722-0800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-Kansas Oral & Maxillofacial Surgery, LLC's NPI number?

The NPI number for Mid-Kansas Oral & Maxillofacial Surgery, LLC is 1881258366. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Mid-Kansas Oral & Maxillofacial Surgery, LLC located?

Mid-Kansas Oral & Maxillofacial Surgery, LLC is located at 3510 N Ridge Rd Ste 500, Wichita, KS 67205. The listed phone number is (316) 722-0800.

What is Mid-Kansas Oral & Maxillofacial Surgery, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

What insurance does Mid-Kansas Oral & Maxillofacial Surgery, LLC accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Mid-Kansas Oral & Maxillofacial Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Kansas Oral & Maxillofacial Surgery, LLC was last updated on November 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.