MEDICARE: DR. DANIEL EPPERSON 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	DEN.00206392	CO
2	1223G0001X	General Practice Dentistry	37241	TX

General Provider Information

NPI Number	:	1750953485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL EPPERSON DMD

Provider Business Mailing Address
First Line	:	1667 COCHRANE CIR
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6990 QUINN ST
Second Line	:
City	:	FORT CARSON
State	:	CO
Zip	:	80913-4450
Country	:	US
Telephone Number	:	719-526-2200
Fax Number	:

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

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	02/03/2026

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