Richard M. Dervin, D.D.S.

Dentist · Shawnee, KS

Individual Active NPI

NPI number 1457452534

Practice location

22002 W 66TH St
Shawnee, KS 66226-3500
Phone
(913) 422-0875

Open in Google Maps

NPI record

NPI
1457452534
Entity type
Individual (Type 1)
Enumeration date
September 25, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 6495 KS

About Dr. Dervin

Richard M. Dervin, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 22002 W 66TH St, Shawnee, KS 66226-3500. The NPI number 1457452534 was assigned on September 25, 2006 and the record was last updated on July 8, 2007.

Dr. Dervin lists a license in the registry: #6495 (KS) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard M. Dervin, D.D.S.?

The NPI number is 1457452534.

What is the phone number of Dr. Dervin?

The phone number listed for the practice location is (913) 422-0875.

Where is Dr. Dervin located?

22002 W 66TH St, Shawnee, KS 66226-3500.

What is the taxonomy code for Dr. Dervin?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Shawnee

All Dentist providers in Shawnee, KS →