Individual
DR. DANIEL MACON HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 N 16TH ST, OPELIKA, AL 36801-5655
(334) 745-3563
(334) 745-3566
Mailing address
2205 CLAIRMONT CIR, AUBURN, AL 36830-6630
(334) 488-5519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D0007081C1
AL
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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