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Contact Information

CARSEN R MCDANIEL, DDS
33801 ACADEMIC DRIVE
FORT GORDON, GA30905
 Phone: 706-787-6927
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CARSEN R MCDANIEL · (Male)

NPI Number 1023500675
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/30/2018
Last updated 07/24/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 10844329-8903
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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