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NPI Code Detail

MEDICARE: DAVID H PAUL DDS

MEDICARE:   DAVID H PAUL  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist14358MO

General Provider Information

NPI Number : 1396803599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID H PAUL DDS
Provider Business Mailing Address
First Line : 114 W COMMERCIAL ST
Second Line : PO BOX 1005
City : BUFFALO
State : MO
Zip : 65622-7614
Country : US
Telephone Number : 417-345-7415
Fax Number : 417-345-7415
Provider Business Practice Location Address
First Line : 114 W COMMERCIAL ST
Second Line :
City : BUFFALO
State : MO
Zip : 65622-7614
Country : US
Telephone Number : 417-345-7415
Fax Number : 417-345-7415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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Directions to “ DAVID H PAUL DDS” Practice Location

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