Healthcare Provider Details

I. General information

NPI: 1699764423
Provider Name (Legal Business Name): RICHARD THOMAS DARNALL DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 SW WESTPORT DR SUITE 200
TOPEKA KS
66614-1914
US

IV. Provider business mailing address

2201 SW WESTPORT DR SUITE 200
TOPEKA KS
66614-1914
US

V. Phone/Fax

Practice location:
  • Phone: 785-273-4300
  • Fax: 785-273-9654
Mailing address:
  • Phone: 785-273-4300
  • Fax: 785-273-9654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5591
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: