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Contact Information

DOUGLAS A WYCKOFF DDS PC
1801 N WALNUT
CAMERON, MO64429
 Phone: 816-632-2822
 Fax: 816-632-5245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DOUGLAS A WYCKOFF DDS PC · (Female)

NPI Number 1376734145
Status Active
Credentials
Entity Individual
Enumeration date 08/07/2007
Last updated 08/07/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 015416
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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