Whalio Doctors

NPI 1013996115

Douglas W Fain, DDSMD

Practitioner Oral and Maxillofacial Surgery (Dentist) Olathe, KS

Practice location

Address
20168 W 153rd St, Olathe, KS 66062-9131
Phone
(913) 839-9709
Fax
(913) 839-9471

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence 6713 (KS)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 13540 (MO)

Registry record

NPI
1013996115
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jan 2006
Record last updated
25 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.