DR. Michael David Mcdaniel, D.M.D.P.A.

NPI #1417048182 in Indianola, Mississippi

Provider Information

NPI Number: 1417048182
Entity Type: Individual
Name: DR. Michael David Mcdaniel, D.M.D.P.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.P.A.
Enumeration Date: Sep 27, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 501 PARK AVE
City: Indianola
State: Mississippi
ZIP Code: 38751-2355
Phone: (662) 887-1272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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