Individual
DR. JIMMY M DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2270 THORNTON TAYLOR PKWY # B, FAYETTEVILLE, TN 37334-3625
(931) 433-5719
(931) 433-5546
Mailing address
2270 THORNTON TAYLOR PKWY # B, FAYETTEVILLE, TN 37334-3625
(931) 433-5719
(931) 433-5546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS2951
TN
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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