Healthcare Provider Details

I. General information

NPI: 1932303393
Provider Name (Legal Business Name): DANIEL JOSHUA TOKAR DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2007
Last Update Date: 02/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9600 E 350
RAYTOWN MO
64133-6513
US

IV. Provider business mailing address

1101 WALNUT ST APT #1109
KANSAS CITY MO
64106-2134
US

V. Phone/Fax

Practice location:
  • Phone: 816-356-2273
  • Fax: 816-356-1098
Mailing address:
  • Phone: 913-226-8653
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2007015578
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: