National Provider Identifier Database

THAER DAIFALLAH, DDS – NPI #1699901868
Oral & Maxillofacial Surgery


Contact Information

THAER DAIFALLAH, DDS
2101 CHARLOTTE ST
KANSAS CITY, MO64108-2727
Phone: 816-404-0500
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X
Oral and Maxillofacial Surgery 1223S0112X
Plastic Surgery Within the Head and Neck 2082S0099X

* Indicates primary specialty

NPI Profile & details for THAER DAIFALLAH

NPI Number 1699901868
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/02/2009
Last updated 11/19/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • KS License #: 60883
  • MO License #: 2009013156
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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