Provider Demographics
NPI:1962692624
Name:TURLEY, BILLY DALE (DMD)
Entity type:Individual
Prefix:DR
First Name:BILLY
Middle Name:DALE
Last Name:TURLEY
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2801 W 112TH ST
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-2952
Mailing Address - Country:US
Mailing Address - Phone:502-802-0389
Mailing Address - Fax:
Practice Address - Street 1:BELTON MODERN DENTISTRY
Practice Address - Street 2:1731 E. NORTH AVE
Practice Address - City:BELTON
Practice Address - State:MO
Practice Address - Zip Code:64012
Practice Address - Country:US
Practice Address - Phone:816-322-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS613651223S0112X
MO20160217751223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery