Mcdaniel, Justin
Mcdaniel, Justin is an individual health care provider with primary practice located at 7410 Merrill Rd Ste 2 , Jacksonville FL 32277-6547. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Mcdaniel, Justin can be contacted via phone (904) 619-7140.Contact Information
Primary practice address
7410 Merrill Rd Ste 2
Jacksonville FL 32277-6547
Phone: (904) 619-7140
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN20940 | Florida |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN20940 | Florida |
Profile Details
| NPI number | 1285038786 |
|---|---|
| LBN Legal business name | Mcdaniel, Justin |
| Credentials | MSD, DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2014 |
| Last updated | Dec 2nd, 2019 - about 7 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.
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