Individual
DR. HAROLD T DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
103 C MICHAEL DAVENPORT BLVD, SUITE 204, FRANKFORT, KY 40601-4491
(502) 352-2510
(502) 352-2504
Mailing address
103 C MICHAEL DAVENPORT BLVD, SUITE 204, FRANKFORT, KY 40601-4491
(502) 352-2510
(502) 352-2504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3498
KY
1223P0221X
Pediatric Dentistry
3498
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3498
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
3498
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60034980
—
KY
05
—
64034986
—
KY
Enumeration date
05/31/2006
Last updated
08/05/2014
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