Individual
DANIEL LUCIEN CASSIDY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 PALMETTO BUSINESS PARK RD, HILTON HEAD ISLAND, SC 29928-3235
(478) 737-6098
Mailing address
3 PALMETTO BUSINESS PARK RD, HILTON HEAD ISLAND, SC 29928-3235
(843) 341-3900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9721
SC
390200000X
Student in an Organized Health Care Education/Training Program
DGD.9721GD
SC
Other
Enumeration date
02/17/2020
Last updated
02/24/2025
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