Daniel Kent Bailey, DDS
Individual provider Active NPI Prosthodontics · Fort Bragg, NC
NPI 1114997657 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1114997657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 4314 (NC)
- Practice address
- 2817 Reilly St
MCDS NA B Attn: Dentac Credentials
Fort Bragg, NC 28310-7302 - Phone
- (910) 396-5610
- Fax
- (910) 396-7017
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4314 | NC | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 4314 | NC | Yes |
Addresses
Primary practice location
2817 Reilly St
MCDS NA B Attn: Dentac Credentials
Fort Bragg, NC 28310-7302
Mailing address
2817 Reilly St
MCDS NA B Attn: Dentac Credentials
Fort Bragg, NC 28310-7302
Phone (910) 396-5610
Other providers in Fort Bragg, NC
- Heriberto Baezmartinez
- Mark R. Baggett
- Cassandra M Bagwell
- Janine Bahsali
- Angela Hager Bailey
- Julian L Bailey Jr.
- Zackary Bailey
- Michael Baird
- Gamal Ahmad Baker
- Monty Timothy Baker
All providers in Fort Bragg, NC · Prosthodontics in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.