Edward D. Dallam in Prairie Village - General Practice

Edward D. Dallam - NPI 1336270115

Edward D. Dallam is a General Practice in Prairie Village, Kansas. Edward D. Dallam practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward D. Dallam is 1336270115. The last update date is 2019-02-20.

Edward D. Dallam's current location address is 5000 W 95th St Ste 300, Prairie Village, Kansas. You can contact this provider via phone number 9136490310. The mailing address for Edward D. Dallam is 5000 W 95th St Ste 300, Prairie Village, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward D. Dallam
Address 5000 W 95th St Ste 300, Prairie Village, Kansas
Phone Number 9136490310
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1336270115
Provider Enumeration Date 2007-03-07
Last Updated Date 2019-02-20

Provider Mailing Address Detail

Address 5000 W 95th St Ste 300
City Prairie Village
State Kansas (KS)
Post Code 662073300
Phone Number 9136490310
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 12689
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6778074 MO BLUE CROSS BLUE SHEILD KC

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FAQs about Edward D. Dallam

What is the unique 10-digit identifier code assigned to Edward D. Dallam by the Centers for Medicare & Medicaid Services?

The Edward D. Dallam has been issued the NPI (National Provider Identifier) 1336270115 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Edward D. Dallam?

The Edward D. Dallam is situated at 5000 W 95Th St Ste 300, in the city of Prairie Village, state of KS, with the zip code 662073300.

What is Edward D. Dallam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Edward D. Dallam is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336270115 to Edward D. Dallam?

The Centers for Medicare & Medicaid Services originally issued the 1336270115 to Edward D. Dallam on 2007-03-07.

As of what date was the information pertaining to Edward D. Dallam, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edward D. Dallam, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-20.

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