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

Paul Robert Dellock

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801628599

Paul Robert Dellock is a Student in an Organized Health Care Education/Training Program in Joplin, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Partly verified

Some contact details are missing from the federal record.

Kcu Oral Health Center 3001 St Johns Blvd
Joplin, MO 64804
Phone: (417) 208-0805
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)

Record details

NPI number1801628599
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 15, 2024
Mailing address3001 Saint Johns Blvd, Joplin, MO 64804-1884

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