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NPI Code Detail

MEDICARE: DR. JOY NATASHA MCDANIEL DMD

MEDICARE:  DR. JOY NATASHA MCDANIEL  DMD
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
11223G0001XGeneral Practice DentistryDS036088PA
21223G0001XGeneral Practice Dentistry8323NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588672224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOY NATASHA MCDANIEL DMD
Provider Business Mailing Address
First Line : 10726 MANOR CRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-2752
Country : US
Telephone Number : 210-598-9483
Fax Number :
Provider Business Practice Location Address
First Line : 10726 MANOR CRK
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78245-2752
Country : US
Telephone Number : 210-598-9483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2006
Last Update Date : 05/14/2015

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Directions to “ DR. JOY NATASHA MCDANIEL DMD” Practice Location

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