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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

NPI Number 1376734145
LBN Legal business name DOUGLAS A WYCKOFF DDS PC
Authorized official DOUGLAS WYCKOFF - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2007
Last updated 08/07/2007 - About 19 years ago
Identifiers
MO License # 015416
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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