Provider Demographics
NPI:1760494041
Name:ORF, DAVID VINCENT (DDS)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:VINCENT
Last Name:ORF
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 1:411 E PEARCE BLVD
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-1533
Mailing Address - Country:US
Mailing Address - Phone:636-327-5600
Mailing Address - Fax:636-332-5600
Practice Address - Street 1:411 E PEARCE BLVD
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-1533
Practice Address - Country:US
Practice Address - Phone:636-327-5600
Practice Address - Fax:636-332-5600
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO012728122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist