Eric Reid Darnell
Dentist, General Practice in Van Buren, MO. Individual provider (NPI-1).
NPI number1144950445
StatusActive
Last updated in NPPESDec 13, 2024
Details
- NPI
- 1144950445
- Entity type
- Individual (NPI-1)
- Name
- Eric Reid Darnell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2024048189 | MO | Yes |
| 122300000X | Dentist | D011380 | AZ |
Practice location
511 Elsie StVan Buren, MO 63965-7800
Phone 573-323-4287
Mailing address
316 Sharondale DrEl Paso, TX 79912-4250
Phone 915-491-2354
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