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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THAER DAIFALLAH, DDS

Active

DR. THAER DAIFALLAH, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in KANSAS CITY, Missouri. NPI 1699901868 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · KANSAS CITY, MO

Registration Details

NPI Number
1699901868
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2009 (17.166751139847 yrs)
Last Updated
Nov 19, 2020
Licenses
2009013156 (MO)
60883 (KS)
2009013156 (MO)
2009013156 (MO)

Practice Information

Address
2101 CHARLOTTE ST
KANSAS CITY, MO, 641082727
Browse MO providers · Browse ZIP 64108
Phone
8164040500
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X

Other Oral & Maxillofacial Surgery (Physician) Providers in KANSAS CITY, MO

Name Credential NPI
DR. PATRICK BRETT MOORE DDS, MD 1497789036
DR. JOHN O'CONNOR HEIMAN MD 1912173592
MARION HARRIS D.D.S. 1285017806
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.