MEDICARE: DR. DANIEL C. NORRIS DDS

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	8070	GA
2	1223G0001X	General Practice Dentistry	8070	GA

General Provider Information

NPI Number	:	1407102015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL C. NORRIS DDS

Provider Business Mailing Address
First Line	:	620 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-2619
Country	:	US
Telephone Number	:	770-436-4141
Fax Number	:	770-436-0700

Provider Business Practice Location Address
First Line	:	620 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-2619
Country	:	US
Telephone Number	:	770-436-4141
Fax Number	:	770-436-0700

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

Provider Enumeration Date	:	08/01/2012
Last Update Date	:	04/19/2026

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