MEDICARE: DR. JOSEPH EDWARD DANIEL SR. 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
1	1223G0001X	General Practice Dentistry	4911	AL

General Provider Information

NPI Number	:	1568572659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH EDWARD DANIEL SR. DMD

Provider Business Mailing Address
First Line	:	3172 CAHABA HEIGHTS RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-5243
Country	:	US
Telephone Number	:	205-967-0760
Fax Number	:	205-967-7166

Provider Business Practice Location Address
First Line	:	3172 CAHABA HEIGHTS RD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35243-5243
Country	:	US
Telephone Number	:	205-967-0760
Fax Number	:	205-967-7166

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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