David L. Detar, DDS, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12028 Issued in MO

Legal business name

DAVID L. DETAR, DDS, PC

Practice address

3115 Arizona Ave
Joplin, MO 64804-3125

Phone

(417) 781-8240

NPI assigned

Jun 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Lawrence Detar, DDSNPI 1346320272

Title

Owner

Phone

(417) 781-8240

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lawrence Detar, DDS

  • Dentist
  • Joplin, MO
  • NPI 1346320272
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982800850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 ARIZONA AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043125",
            "telephone_number": "417-781-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 ARIZONA AVE",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043125",
            "telephone_number": "417-781-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. DETAR, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DETAR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-781-8240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "12028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinous Darvish, DMD
• Carter Daugherty
• Natalie Lorene Davenport-Hernandez
• David Dowell DPM
• David L Straub, M.D.,P.C.
• David R Coleman OD LLC
• Aaron David, DMD
• Michael D David, DO
• Elloren Neadel Davidson, CRNA
• Felicia Davis-Smith, PMHNP-C

• All providers in Joplin, MO
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.