John Provenzano, DDS

NPI 1710955430 · on the registry since 2006

Practice

Address: 1515 S Clifton Ave
Suite 120
Wichita, KS 67218
Phone: (316) 681-3757
Fax: (316) 652-0602
Organisation at this address: Heart Views Llc
J R Henwood M.D.Pa
The Wound Nurse, Llc
Dan A Francisco Md Pa
Charles W Beck, Md, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 61

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: KS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-10-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas