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NPI Code Detail

MEDICARE: DR. JARED GARETH DANIELSON DDS

MEDICARE:  DR. JARED GARETH DANIELSON  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
11223P0221XPediatric Dentistry52846CA

General Provider Information

NPI Number : 1609903541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARED GARETH DANIELSON DDS
Provider Business Mailing Address
First Line : 4517 SERRANO PKWY STE 102
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7569
Country : US
Telephone Number : 916-573-3387
Fax Number : 916-919-8521
Provider Business Practice Location Address
First Line : 4517 SERRANO PKWY STE 102
Second Line :
City : EL DORADO HILLS
State : CA
Zip : 95762-7569
Country : US
Telephone Number : 916-573-3387
Fax Number : 916-919-8521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 04/06/2022

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Directions to “ DR. JARED GARETH DANIELSON DDS” Practice Location

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