SearchTennessee1223G0001X

Michael O'Daniel, DMD

NPI 1982720413 · on the registry since 2007 · sole proprietor

Practice

Address
7996 Highway 19 E
Suite 6
Roan Mountain, TN 37687
Phone
(423) 772-4167
Fax
(423) 772-0178

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee