Individual
DANIEL ROBERT DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 E MAIN ST, WAVERLY, TN 37185-2120
(931) 296-3882
(931) 296-3856
Mailing address
210 E MAIN ST, WAVERLY, TN 37185-2120
(931) 296-3882
(931) 296-3856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS9805
TN
1223G0001X
General Practice Dentistry
15783
TX
Other
Enumeration date
10/30/2006
Last updated
04/25/2017
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