Mcdaniel, Carol
Mcdaniel, Carol is an individual health care provider with primary practice located at 1921 Stonecipher Blvd , Ada OK 74820. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Mcdaniel, Carol can be contacted via phone (580) 436-3980.Contact Information
Primary practice address
1921 Stonecipher Blvd
Ada OK 74820
Phone: (580) 436-3980
Fax: (580) 421-6283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | MI2683-92 | Michigan |
| Dental Providers / Dentist | 122300000X | 6573 | Oklahoma |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | MI2683-92 | Michigan |
Profile Details
| NPI number | 1881615888 |
|---|---|
| LBN Legal business name | Mcdaniel, Carol |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | May 20th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881615888 | NPPES |
| Other | 1748583 | UNITED CONCORDIA | |
| MEDICAID | DD26832 | UNITED CONCORDIA |
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