Individual
ROBERT CARY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2028 W POPLAR AVE, STE 110, COLLIERVILLE, TN 38017-0618
(901) 861-9668
(901) 861-9582
Mailing address
200 HOME PLACE, COLLIERVILLE, TN 38017
(901) 861-8294
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000007976
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440629
—
TN
Enumeration date
11/02/2006
Last updated
07/08/2007
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