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Contact Information

THAER DAIFALLAH, DDS
2101 CHARLOTTE ST
KANSAS CITY, MO64108-2727
 Phone: 816-404-0500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for THAER DAIFALLAH · (Male)

NPI Number 1699901868
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/02/2009
Last updated 11/19/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 60883
  • MO License # 2009013156
Hospital affiliation(s)
  • TRUMAN MEDICAL CENTER HOSPITAL HILL - (Acute Care)
    2301 HOLMES STREET
    KANSAS CITY, MO 64108
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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