Healthcare Provider Details

I. General information

NPI: 1528985140
Provider Name (Legal Business Name): HARRISON LLOYD DANIELS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 E PLAZA DR
TALLAHASSEE FL
32308-5301
US

IV. Provider business mailing address

2424 E PLAZA DR
TALLAHASSEE FL
32308-5301
US

V. Phone/Fax

Practice location:
  • Phone: 850-385-5297
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number32095
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: