Provider Demographics
NPI:1285645499
Name:PLAHN, DIANA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:L
Last Name:PLAHN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 W WASHINGTON AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:KIRKWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63122-3978
Mailing Address - Country:US
Mailing Address - Phone:314-965-7222
Mailing Address - Fax:
Practice Address - Street 1:132 W WASHINGTON AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-3978
Practice Address - Country:US
Practice Address - Phone:314-965-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO142591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice