# DANIEL C. MADION DDS, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madion Oral & Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194916981
- **Authorized official:** DANIEL C. MADION DDS, MD (OWNER)
- **Authorized official phone:** (231) 922-2100

## Contact information

- **Practice address:** 601 S GARFIELD AVE, SUITE A, TRAVERSE CITY, MI 49686-3481
- **Practice address phone:** (231) 922-2100
- **Mailing address:** 601 S GARFIELD AVE, SUITE A, TRAVERSE CITY, MI 49686-3481
- **Mailing address phone:** (231) 922-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901019532 | MI | Yes |

## Other

- **Enumeration date:** 08/06/2007
- **Last updated:** 08/06/2007
