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NPI Code Detail

MEDICARE: DR. DAVID DALTON DANIEL D.M.D.

MEDICARE: DR. DAVID DALTON DANIEL D.M.D.
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
1122300000XDentist30-023434OH

General Provider Information

NPI Number : 1124314075
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID DALTON DANIEL D.M.D.
Provider Business Mailing Address
First Line : 203 S WALL ST
Second Line : APT. 316
City : COLUMBUS
State : OH
Zip : 43215-4780
Country : US
Telephone Number : 614-668-7364
Fax Number :
Provider Business Practice Location Address
First Line : 2058 BALTIMORE REYNOLDSBURG RD
Second Line :
City : REYNOLDSBURG
State : OH
Zip : 43068-3261
Country : US
Telephone Number : 614-863-4310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 06/20/2011

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