Organization
TALLGRASS PRAIRIE SURGICAL SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD T DARNALL DDS (OWNER)
(785) 273-4300
Entity
Organization
Contact information
Practice address
2201 SW WESTPORT DR, SUITE 200, TOPEKA, KS 66614-1914
(785) 273-4300
(785) 273-9654
Mailing address
2201 SW WESTPORT DR, 200, 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
—
100221830B
—
KS
Enumeration date
06/12/2006
Last updated
09/23/2008
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