# JOHN D. MCQUILLEN, D.D.S, P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811976962
- **Authorized official:** JOHN D. MCQUILLEN D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (785) 456-9393

## Contact information

- **Practice address:** 904 5TH ST, WAMEGO, KS 66547-1442
- **Practice address phone:** (785) 456-9393
- **Practice address fax:** (785) 456-6650
- **Mailing address:** 904 5TH ST, WAMEGO, KS 66547-1442
- **Mailing address phone:** (785) 456-9393
- **Mailing address fax:** (785) 456-6650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6488 | KS | Yes |

## Other

- **Enumeration date:** 01/16/2006
- **Last updated:** 08/22/2020