Search › Kansas › 122300000X
Richard Dervin, D.D.S
NPI 1457452534 · on the registry since 2006 · sole proprietor
Practice
- Address
- 22002 W 66th St
Shawnee, KS 66226 - Phone
- (913) 422-0875
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- KS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas