Healthcare Provider Details

I. General information

NPI: 1295469161
Provider Name (Legal Business Name): DAVE DULAY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2022
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 SW WANAMAKER RD
TOPEKA KS
66604-3813
US

IV. Provider business mailing address

2250 S RANCHO DR STE 205
LAS VEGAS NV
89102-4456
US

V. Phone/Fax

Practice location:
  • Phone: 785-338-4048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number62415
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number14240908-9926
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN27163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: