Organization
TALLGRASS ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD T DARNALL DDS (ORAL SURGEON)
(785) 273-4300
Entity
Organization
Contact information
Practice address
2201 SW WESTPORT DR, TOPEKA, KS 66614-1914
(785) 273-4300
(785) 273-9654
Mailing address
2201 SW WESTPORT DR, TOPEKA, KS 66614-1914
(785) 273-4300
(785) 273-9654
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5591
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10221830B
—
KS
Enumeration date
08/15/2012
Last updated
08/15/2012
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