MEDICARE: DR. DANIEL J DUGAN DDS OMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	D11932	TX
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)	D11932	TX

General Provider Information

NPI Number	:	1588600712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL J DUGAN DDS OMS

Provider Business Mailing Address
First Line	:	613 HARWOOD RD WEST
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-3161
Country	:	US
Telephone Number	:	817-268-4108
Fax Number	:	817-282-2479

Provider Business Practice Location Address
First Line	:	613 HARWOOD RD WEST
Second Line	:
City	:	HURST
State	:	TX
Zip	:	76054-3161
Country	:	US
Telephone Number	:	817-268-4108
Fax Number	:	817-282-2479

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	09/11/2025

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