| Darrell W. Davis, D.D.S., P.c | |
|
17020 E Us Highway 40 #7 Independence MO 64055-5361 | |
| (816) 350-7710 | |
| (816) 350-7711 |
| Full Name | Darrell W. Davis, D.D.S., P.c |
|---|---|
| Speciality | Dentist |
| Location | 17020 E Us Highway 40, Independence, Missouri |
| Authorized Official Name and Position | Darrell W. Davis (DENTIST) |
| Authorized Official Contact | 8163507710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Darrell W. Davis, D.D.S., P.c 17020 E. U.s. Highway 40 #7 Independence MO 64014-5365 Ph: (816) 350-7710 | Darrell W. Davis, D.D.S., P.c 17020 E Us Highway 40 #7 Independence MO 64055-5361 Ph: (816) 350-7710 |
| NPI Number | 1356547780 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356547780 | NPI | - | NPPES |
| 1750430955 | Other | MO | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15136 (Missouri) | Primary |
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