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General NPI Number Information
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NPI Number | 1972956662
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Entity Type | Individual
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Provider Name | DANIEL JOHN FRANCIS DMD
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Gender | Male
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 4115 MANNHEIM RD
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City | JASPER
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State | IN
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Zip | 47546-2964
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Country | US
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Telephone | 812-482-4347
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Fax | 812-482-2050
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Provider Business Mailing Address
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Address Line | 4223 MARYWOOD DRIVE
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City | JASPER
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State | IN
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Zip | 47546
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Country | US
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Telephone | 615-310-1350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12012530A
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License Number State | IN
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