Whalio Doctors

NPI 1699901868

Thaer Daifallah, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Kansas City, MO

Practice location

Address
2101 Charlotte St, Kansas City, MO 64108-2727
Phone
(816) 404-0500
Mailing address
2301 Holmes St, Kansas City, MO 64108-2640

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2009013156 (MO)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 2009013156 (MO)
Oral & Maxillofacial Surgery (D.M.D.)
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 60883 (KS)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0099X Licence 2009013156 (MO)

Registry record

NPI
1699901868
Entity type
Individual
Sex (as registered)
Male
NPI issued
2 Jun 2009
Record last updated
19 Nov 2020

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.