Organization
DARRELL W. DAVIS, D.D.S., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL W. DAVIS D.D.S., P.C. (DENTIST)
(816) 350-7710
Entity
Organization
Contact information
Practice address
17020 E US HIGHWAY 40, #7, INDEPENDENCE, MO 64055-5361
(816) 350-7710
(816) 350-7711
Mailing address
17020 E. U.S. HIGHWAY 40, #7, INDEPENDENCE, MO 64014-5365
(816) 350-7710
(816) 350-7711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15136
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750430955
NPI TYPE 1
MO
Enumeration date
06/22/2007
Last updated
10/16/2007
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