Dr. Wayne A. McDaniel, D.D.S.
Dentist, General Practice in Jamestown, ND. Individual provider (NPI-1).
NPI number1275697708
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1275697708
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wayne A. McDaniel
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1483 | ND | Yes |
Practice location
916 5th Ave NeJamestown, ND 58401-3437
Phone 701-252-6752
Mailing address
3761 88th Ave SeJamestown, ND 58401-9766
Phone 701-252-0579
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