Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thaer Daifallah, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1699901868

Dr. Thaer Daifallah, DDS is a Maxillofacial Surgery in Kansas City, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 2009, 17 years ago. Practices with University Health Physicians, a 346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
17
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KS, MO
In the registry since
2009
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2101 Charlotte St
Kansas City, MO 64108-2727
Phone: (816) 404-0500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2301 Holmes St, Kansas City, MO 64108-2640 — (816) 404-0500

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 2009013156 (MO)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 2009013156 (MO)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 60883 (KS)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 2009013156 (MO)

Record details

NPI number1699901868
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020
Mailing address2301 Holmes St, Kansas City, MO 64108-2640

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice University Health Physicians — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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