Provider Demographics
NPI:1437993565
Name:DAHMS, DEVON ANDREW (DDS)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:ANDREW
Last Name:DAHMS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19630 LANNIGAN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-3114
Mailing Address - Country:US
Mailing Address - Phone:405-880-4275
Mailing Address - Fax:
Practice Address - Street 1:12720 KANSAS AVE
Practice Address - Street 2:BUILDING 789
Practice Address - City:FORT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473
Practice Address - Country:US
Practice Address - Phone:573-596-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-24
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7870122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist