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Contact Information

EDWARD D DALLAM, DDS
5000 W 95TH ST STE 300
PRAIRIE VILLAGE, KS66207
 Phone: 913-649-0310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for EDWARD D DALLAM · (Male)

NPI Number 1336270115
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 03/07/2007
Last updated 02/20/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 12689
  • MO Other 06778074 BLUE CROSS BLUE SHEILD KC
Hospital affiliation(s) Not Available
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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