Provider Demographics
NPI:1720488133
Name:DANIEL, CATHERINE (DMD)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:DANIEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:E
Other - Last Name:DANIEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:108 MASSINGILL RD
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-8213
Mailing Address - Country:US
Mailing Address - Phone:864-878-2428
Mailing Address - Fax:
Practice Address - Street 1:108 MASSINGILL RD
Practice Address - Street 2:
Practice Address - City:PICKENS
Practice Address - State:SC
Practice Address - Zip Code:29671-8213
Practice Address - Country:US
Practice Address - Phone:864-878-2428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8421122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist