# DALLIN JOSEPHSON DDS LLC

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

## Provider details

- **NPI number:** 1275222143
- **Authorized official:** DALLIN MCDONALD JOSEPHSON DDS (DOCTOR)
- **Authorized official phone:** (636) 577-2223

## Contact information

- **Practice address:** 2011 W JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1853
- **Practice address phone:** (816) 630-5533
- **Practice address fax:** (816) 630-2234
- **Mailing address:** 2011 W JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1853
- **Mailing address phone:** (816) 630-5533
- **Mailing address fax:** (816) 630-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023