Provider Demographics
NPI:1225514953
Name:ASHTON, DANIEL LEE (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LEE
Last Name:ASHTON
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 1:106 W SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-9563
Mailing Address - Country:US
Mailing Address - Phone:864-561-4194
Mailing Address - Fax:
Practice Address - Street 1:1139A GREENVILLE HWY
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6204
Practice Address - Country:US
Practice Address - Phone:864-292-6050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC91981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice