Individual
DR. DANIEL ANGUS MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
543 W SHAW ST, SAINT PAULS, NC 28384-1428
(910) 865-4152
(910) 865-1009
Mailing address
543 W SHAW ST, SAINT PAULS, NC 28384-1428
(910) 865-4152
(910) 865-1009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
558959
UNITED CONCORDIA INS.
—
05
—
8995770
—
NC
01
—
95770
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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