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Daniel Lucien Cassidy JR.
General Practice Dentistry in Conway, South Carolina
NPI 1356974513

Daniel Lucien Cassidy JR. is a General Practice Dentistry based in Murrells Inlet, SC and is specialized in General Practice. Daniel Lucien Cassidy JR. practices in Conway, SC. The NPI Number for Daniel Lucien Cassidy JR. is 1356974513 and holds a License No. DGD.9721GD (South Carolina).

The current practice location address for Daniel Lucien Cassidy JR. is 1515 9Th Ave, Conway, SC and can be reached out via phone at 843-248-3843.

Location: 1515 9Th Ave, Conway, SC, 29576-7810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356974513
Provider Name
Daniel Lucien Cassidy JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1515 9Th Ave, Conway, SC, 29576-7810
Phone Number
843-248-3843
Fax Number
Provider Enumeration Date
02/17/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1515 9Th Ave
City
Conway
State
South Carolina
Zip
29526-4107
Phone Number
843-248-3843
Fax Number
person
Provider Business Mailing Address Details
Address
1515 9Th Ave
City
Conway
State
South Carolina
Zip
29526-4107
Phone Number
843-248-3843
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9721 (South Carolina)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DGD.9721GD (South Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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