Provider Demographics
NPI:1013228709
Name:LINFORD, DANIEL CHESTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CHESTER
Last Name:LINFORD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 N EVERGREEN RD STE 400
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0993
Mailing Address - Country:US
Mailing Address - Phone:509-922-1360
Mailing Address - Fax:509-921-1260
Practice Address - Street 1:420 N EVERGREEN RD BLDG B
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0973
Practice Address - Country:US
Practice Address - Phone:509-922-1360
Practice Address - Fax:509-921-1260
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60162921122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist