Dr. John R Provenzano
DDS | Oral and Maxillofacial Surgeon
1515 S Clifton Ave, Suite 120, Wichita
Kansas, 67218-2900
316-681-3757 316-652-0602
Maps & DirectionsDr. John R Provenzano is a Wichita, Kansas based Oral and Maxillofacial Surgeon who is specialized in
Oral and Maxillofacial Surgery. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. His current practice location is
1515 S Clifton Ave, Suite 120, Wichita. Patients can reach him at
316-681-3757.
Dr. John R Provenzano deals with 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.
Complete Profile:
Dr. John R Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. John R Provenzano |
| Specialization: | Oral and Maxillofacial Surgeon |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 1515 S Clifton Ave, Suite 120, Wichita,
Kansas, 67218-2900 |
| Phone: | 316-681-3757 |
| Fax: | 316-652-0602 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9335156397 |
| Enrollment ID: | I20120307000573 |
| NPI Number: | 1710955430 |
| NPI Enumeration Date: | 09 Mar, 2006 |
| NPI Last Update On: | 11 Oct, 2011 |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1515 S Clifton Ave, Suite 120
Wichita, Kansas |
| Zip: | 67218-2900 |
| Phone Number: | 316-681-3757 |
| Fax Number: | 316-652-0602 |
Patients can reach Dr. John R Provenzano at
1515 S Clifton Ave, Suite 120, Wichita, Kansas or can
call to book an appointment on 316-681-3757.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.