# DR. DANIEL KEVIN BYRD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1902162860
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5711 | NE | Yes |

## Other

- **Enumeration date:** 04/05/2012
- **Last updated:** 04/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 04857 | BLUE CROSS BLUE SHIELD | NE |
| 05 | — | 122300000X | — | NE |