Individual provider Active NPI

Tara Snell Daniel, DMD

  • General Practice Dentistry
  • Athens, GA
National Provider Identifier
1841922986
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122745 Issued in GA
Practice address
175 Hawthorne Park
Athens, GA 30606-2150
Phone
(706) 353-7860
NPI assigned
Jun 28, 2022
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN122745 GA Primary

Addresses

Primary practice location

175 Hawthorne Park
Athens, GA 30606-2150

Mailing address

4371 Highway 186
Good Hope, GA 30641-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN122745GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Conyers Dental LLC General Practice CurrentSince Jul 3, 2022 Accepting new patients
Lacour Family Dentistry East LLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

175 Hawthorne Park
Athens, GA 30606
Phone (706) 353-7860

1317 Milstead Ave NE
Conyers, GA 30012
Phone (770) 760-0036

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1841922986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 HIGHWAY 186",
            "city": "GOOD HOPE",
            "state": "GA",
            "postal_code": "306412277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 HAWTHORNE PARK",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062150",
            "telephone_number": "706-353-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "TARA",
        "middle_name": "SNELL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.