Provider Demographics
NPI:1275544702
Name:TURNBULL, DANIEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:TURNBULL
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 1:1148 EXECUTIVE CIR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4575
Mailing Address - Country:US
Mailing Address - Phone:919-467-5754
Mailing Address - Fax:919-380-1601
Practice Address - Street 1:1148 EXECUTIVE CIR
Practice Address - Street 2:SUITE 1
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4575
Practice Address - Country:US
Practice Address - Phone:919-467-5754
Practice Address - Fax:919-380-1601
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC54261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice