# DANIEL B MANLEY DMD PSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Business Title
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154497535
- **Authorized official:** DR. DANIEL BRUCE MANLEY DMD (DMD PSC)
- **Authorized official phone:** (859) 498-2356

## Contact information

- **Practice address:** 1107 C INDIAN MOUND DRIVE, SUITE C, MT STERLING, KY 40353
- **Practice address phone:** (859) 498-2356
- **Practice address fax:** (859) 498-2413
- **Mailing address:** 1107 C INDIAN MOUND DRIVE, SUITE C, MT STERLING, KY 40353
- **Mailing address phone:** (859) 498-2356
- **Mailing address fax:** (859) 498-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5357 | KY | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4500368800 | — | KY |
| 05 | — | 60053576 | — | KY |
