NPI 1043305709

Richard G Prine, DDS

Practitioner Dentist Independence, MO

Practice location

Address: 12600 E US Highway 40, Independence, MO 64055-5955
Phone: (816) 478-4204
Fax: (816) 478-8920

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 011990 (MO)

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Registry record

NPI: 1043305709
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2006
Record last updated: 8 Jul 2007

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.