Individual
DR. JOHN ROGERS MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
34011 US HIGHWAY 280, CHILDERSBURG, AL 35044-2128
(256) 378-3127
(256) 378-3501
Mailing address
PO BOX 354, CHILDERSBURG, AL 35044-0354
(256) 378-3127
(256) 378-3501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3351
AL
Other
Enumeration date
05/20/2007
Last updated
01/07/2010
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