Active NPI
Tara Snell Daniel, DMD
- General Practice Dentistry
- Athens, GA
National Provider Identifier
1841922986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN122745
- Practice address
- 175 Hawthorne Park
Athens, GA 30606-2150 - Phone
- (706) 353-7860
- NPI assigned
- Jun 28, 2022
- Last updated
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN122745 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conyers Dental LLC | General Practice | Current | Accepting new patients |
| Lacour Family Dentistry East LLC | Current | 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.