Individual
MICHAEL F O'DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7996 HIGHWAY 19 E, SUITE 6, ROAN MOUNTAIN, TN 37687-3377
(423) 772-4167
(423) 772-0178
Mailing address
PO BOX 410, ROAN MOUNTAIN, TN 37687-0410
(423) 772-4167
(423) 772-0178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS007269
TN
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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